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Form 5500 · Employee benefit plan · PORTSMOUTH, RI

CLEMENTS MARKETPLACE, INC.

CLEMENTS MARKETPLACE, INC. of PORTSMOUTH, RI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MARYSE HATHAWAY. Coverage is written through UNUM LIFE INSURANCE COMPANY OF AMERICA and 6 other carriers. The plan's most recent policy period ended in July.

Benefits broker of record
Plan renews
July

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 05-0389042 · plan 501 · as of Jul 2026

Participants
112
Carriers on file
7
Disclosed commissions
$5,376
Renewal month
July

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
UNUM LIFE INSURANCE COMPANY OF AMERICALife28July$1,297
DELTA DENTAL OF RHODE ISLANDDental53July$1,011
DELTA DENTAL OF RHODE ISLANDDental36July$821
VISION SERVICE PLANVision85July$737
PRINCIPAL LIFE INSURANCE COMPANYLife113May$627
DELTA DENTAL OF RHODE ISLANDDental24July$496
DELTA DENTAL OF RHODE ISLANDDental16July$387

Questions

Who is CLEMENTS MARKETPLACE, INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, CLEMENTS MARKETPLACE, INC.'s broker of record is MARYSE HATHAWAY.

What insurance carrier does CLEMENTS MARKETPLACE, INC. use?

CLEMENTS MARKETPLACE, INC.'s benefit plan is written through UNUM LIFE INSURANCE COMPANY OF AMERICA, among 7 disclosed carriers.

When does CLEMENTS MARKETPLACE, INC.'s group plan renew?

The most recent Schedule A policy period for CLEMENTS MARKETPLACE, INC. ended in July. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from CLEMENTS MARKETPLACE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.