Form 5500 · Employee benefit plan · WOONSOCKET, RI
CVS HEALTH CARE DELIVERY GROUP OF EMPLYERS
The filing calls this plan CVS HEALTH CARE DELIVERY WELFARE BENEFIT PLAN.
CVS HEALTH CARE DELIVERY GROUP OF EMPLYERS of WOONSOCKET, RI is a 3,455-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is AON CONSULTING - CHICAGO. Coverage is written through AETNA LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-8525446 · plan 521 · plan year 2025, filed Mar 2, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
8 other employer plans in Rhode Island have policy years ending in May. 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.
The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.
Benefits declared on this filing
Disability: UNUM LIFE INSURANCE COMPANY OF AMERICA covers 42 of 3,455 participants (1.2%) on Schedule A.
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 12 insured contracts covering health, dental, vision, life and disability; the largest, with AETNA LIFE INSURANCE COMPANY, covers 5,237 people.
Reported premium across the insured contracts is $42,168,390, with $326,078 in disclosed broker commissions — about 0.8% of premium.
The most recent policy period ended in May, and the plan year ends May 31. Group contracts typically renew on that annual cycle.
AON CONSULTING - CHICAGO is the broker of record on 1 of the 12 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including AETNA LIFE INSURANCE COMPANY, UNUM LIFE INSURANCE COMPANY OF AMERICA, HARTFORD LIFE AND ACCIDENT and FIRST UNUM LIFE INSURANCE COMPANY. AETNA LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 42 | Jun 1, 2025 | $6,055,777 | $259,908 |
| HARTFORD LIFE AND ACCIDENT | Life | 5,746 | Jun 1, 2025 | $697,992 | $52,349 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 442 | Jun 1, 2025 | $169,046 | $9,297 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 97 | Jun 1, 2025 | $49,802 | $2,803 |
| FIRST UNUM LIFE INSURANCE COMPANY | — | 28 | Jun 1, 2025 | $19,208 | $1,056 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 23 | Jun 1, 2025 | $12,095 | $665 |
| AETNA LIFE INSURANCE COMPANY | Health, Dental, Vision | 5,237 | Jun 1, 2025 | $34,393,194 | $0 |
| AETNA LIFE INSURANCE COMPANY | Health | 1,293 | Jun 1, 2025 | $471,951 | $0 |
| HARTFORD LIFE AND ACCIDENT | — | 3,385 | Jun 1, 2025 | $176,823 | $0 |
| AETNA LIFE INSURANCE COMPANY | Health | 803 | Jun 1, 2025 | $105,750 | $0 |
| AETNA LIFE INSURANCE COMPANY | Health | 28 | Jun 1, 2025 | $16,127 | $0 |
| AETNA LIFE INSURANCE COMPANY | Health, Vision | 6 | Jun 1, 2025 | $625 | $0 |
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
How this plan compares
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Renewal calendar
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