Form 5500 · Employee benefit plan · WOONSOCKET, RI
CVS HEALTH CORP
The filing calls this plan BUSINESS TRAVEL ACCIDENT INSURANCE.
CVS HEALTH CORP of WOONSOCKET, RI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Coverage is written through ACE AMERICAN INSURANCE COMPANY. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 05-0494040 · plan 509 · plan year 2024, filed Aug 28, 2025
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Also declared: death benefits.
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.
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
The most recent policy period ended in November, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.
With 307,783 participants this is one of the larger insured groups on file in RI.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ACE AMERICAN INSURANCE COMPANY | — | 309,866 | Nov 29, 2024 | — | $0 |
| ACE AMERICAN INSURANCE COMPANY | — | 4,137 | Nov 29, 2024 | — | $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.
Other plans filed by this employer
How this plan compares
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