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Form 5500 · Employee benefit plan · BURLINGTON, VT

COMMUNITY HEALTH CENTERS OF BURLINGTON

The filing calls this plan COMMUNITY HEALTH CENTERS OF BURLINGTON HEALTH AND WELFARE BENEFITS.

COMMUNITY HEALTH CENTERS OF BURLINGTON of BURLINGTON, VT insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is ACRISURE NEW ENGLAND PARTNERS. Coverage is written through MVP HEALTHCARE and 4 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-7182584 · plan 510 · plan year 2025, filed Jun 22, 2026

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184 other employer plans in Vermont have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
296
Active at start of year
295
Active at end of year
313
Disclosed commissions
$58,582
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — MVP HEALTHCARE336 of 296 participants
Dentalinsured — DELTA DENTAL PLAN OF VERMONT, INC.378 of 296 participants
Visioninsured — VISION SERVICE PLAN187 of 296 participants (63%)
Lifeinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA315 of 296 participants on the largest contract
Disabilityinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA315 of 296 participants

Also declared: other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 7 insured contracts covering health, dental, vision, life and disability; the largest, with MVP HEALTHCARE, covers 336 people.

Reported premium across the insured contracts is $5,023,154, with $58,582 in disclosed broker commissions — about 1.2% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

ACRISURE NEW ENGLAND PARTNERS is the broker of record on 3 of the 7 contracts; the rest name a different broker or none.

5 carriers appear on the filing, including MVP HEALTHCARE, UNUM LIFE INSURANCE COMPANY OF AMERICA, DELTA DENTAL PLAN OF VERMONT, INC. and VISION SERVICE PLAN. MVP HEALTHCARE writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
MVP HEALTHCAREHealth336Jan 1, 2026$4,476,745$31,668
UNUM LIFE INSURANCE COMPANY OF AMERICALife, Disability315Jan 1, 2026$271,919$10,987
DELTA DENTAL PLAN OF VERMONT, INC.Dental378Jan 1, 2026$203,572$7,176
UNUM LIFE INSURANCE COMPANY OF AMERICALife79Jan 1, 2026$29,760$4,464
VISION SERVICE PLANVision187Jan 1, 2026$26,849$2,382
UNUM INSURANCE COMPANY—35Jan 1, 2026$8,230$993
UNUM INSURANCE COMPANY—30Jan 1, 2026$6,079$912

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
COMMUNITY HEALTH CENTERS OF BURLINGTON
EIN 23-7182584

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

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Renewal calendar

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