Form 5500 · Employee benefit plan · LINCOLN, RI
FELLOWSHIP HEALTH RESOURCES, INC.
The filing calls this plan FELLOWSHIP HEALTH RESOURCES, INC. EMPLOYEE BENEFITS PLAN.
FELLOWSHIP HEALTH RESOURCES, INC. of LINCOLN, RI spreads its employee benefits across 5 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is STARKWEATHER AND SHEPLEY INC. Coverage is written through BLUE CROSS BLUE SHIELD OF RHODE ISLAND and 4 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 05-0373414 · plan 502 · plan year 2023, filed Feb 7, 2024
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16 other employer plans in Rhode Island have policy years ending in March. 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.
Benefits declared on this filing
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 13 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF RHODE ISLAND, covers 150 people.
Reported premium across the insured contracts is $642,595, with $9,591 in disclosed broker commissions — about 1.5% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
STARKWEATHER AND SHEPLEY INC is the broker of record on 1 of the 13 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF RHODE ISLAND, DELTA DENTAL OF RHODE ISLAND, THE LINCOLN NATIONAL LIFE INSURANCE COMPANY and VISION SERVICE PLAN. BLUE CROSS BLUE SHIELD OF RHODE ISLAND writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF RHODE ISLAND | Health | 150 | Apr 1, 2023 | $558,685 | $2,956 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | 32 | Apr 1, 2023 | $4,701 | $1,293 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 293 | Apr 1, 2023 | $8,660 | $1,013 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 235 | Apr 1, 2023 | $32,148 | $913 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 33 | Apr 1, 2023 | $5,719 | $858 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | 34 | Apr 1, 2023 | $4,842 | $828 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 293 | Apr 1, 2023 | $5,992 | $660 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 123 | Apr 1, 2023 | $5,641 | $564 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 72 | Apr 1, 2023 | $9,396 | $267 |
| VISION SERVICE PLAN | Vision | 152 | Apr 1, 2023 | $4,747 | $235 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 1 | Apr 1, 2023 | $135 | $4 |
| COASTLINE EAP | — | 417 | Apr 1, 2023 | $1,929 | $0 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 0 | Apr 1, 2023 | — | $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
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Renewal calendar
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