Form 5500 · Employee benefit plan · PROVIDENCE, RI
FAMILY SERVICE OF RHODE ISLAND, INC.
FAMILY SERVICE OF RHODE ISLAND, INC. of PROVIDENCE, RI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through BLUE CROSS BLUE SHIELD OF RHODE ISLAND and 3 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 05-0258858 · plan 502 · as of Aug 2026
Plan brief
Schedule A lists 4 insured contracts covering health, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF RHODE ISLAND, covers 356 people.
Reported premium across the insured contracts is $3,178,979, with $9,014 in disclosed broker commissions — about 0.3% of premium.
The health contract's policy period ended in June, while at least one ancillary line renews in November — the plan is on a split renewal cycle.
USI INSURANCE SERVICES LLC is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing — BLUE CROSS BLUE SHIELD OF RHODE ISLAND, STANDARD INSURANCE COMPANY, EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA and VISION SERVICE PLAN — with BLUE CROSS BLUE SHIELD OF RHODE ISLAND writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| STANDARD INSURANCE COMPANY | Life, Disability | 261 | June | $48,636 | $4,808 |
| BLUE CROSS BLUE SHIELD OF RHODE ISLAND | Health | 356 | June | $3,060,647 | $1,815 |
| VISION SERVICE PLAN | Vision | 152 | June | $32,228 | $1,614 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 256 | November | $37,468 | $777 |
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