Form 5500 · Employee benefit plan · NORTH KINGSTOWN, RI
FUJIFILM ELECTRONIC MATERIALS U.S.A., INC.
FUJIFILM ELECTRONIC MATERIALS U.S.A., INC. of NORTH KINGSTOWN, 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 OF RI INC. Coverage is written through BLUE CROSS BLUE SHIELD OF RHODE ISLAND. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 06-1305146 · plan 502 · as of Aug 2026
Plan brief
The filing discloses a single insured line — health — through BLUE CROSS BLUE SHIELD OF RHODE ISLAND, covering 814 people.
Reported premium across the insured contracts is $5,319,208, with $11,670 in disclosed broker commissions — about 0.2% 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.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF RHODE ISLAND | Health | 814 | December | $5,319,208 | $11,670 |
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