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Form 5500 · Employee benefit plan · WATERVILLE, ME

HEALTHREACH COMMUNITY HEALTH CENTERS

The filing calls this plan HEALTHREACH COMMUNITY HEALTH CENTERS WELFARE BENEFIT PLAN.

HEALTHREACH COMMUNITY HEALTH CENTERS of WATERVILLE, ME spreads its employee benefits across 5 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through AETNA LIFE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 01-6023664 · plan 508 · plan year 2024, filed Jul 28, 2025

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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.

All participants at the start of the year
241
Active at start of year
239
Active at end of year
237
Disclosed commissions
$103,380
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — AETNA LIFE INSURANCE COMPANY344 of 241 participants
Dentalinsured — DELTA DENTAL PLAN OF MAINE344 of 241 participants
Visioninsured — RED TREE INSURANCE COMPANY, INC.307 of 241 participants
Lifeinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA244 of 241 participants
Disabilityinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA244 of 241 participants

Also declared: death benefits, 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.

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 5 insured contracts covering health, dental, vision, life and disability; the largest, with AETNA LIFE INSURANCE COMPANY, covers 344 people.

Reported premium across the insured contracts is $3,427,067, with $103,380 in disclosed broker commissions — about 3% 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.

USI INSURANCE SERVICES LLC is the broker of record on all 5 contracts.

5 carriers appear on the filing, including AETNA LIFE INSURANCE COMPANY, UNUM LIFE INSURANCE COMPANY OF AMERICA, DELTA DENTAL PLAN OF MAINE and UNUM INSURANCE COMPANY. AETNA LIFE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
AETNA LIFE INSURANCE COMPANYHealth344Jan 1, 2025$3,024,592$74,535
UNUM LIFE INSURANCE COMPANY OF AMERICALife, Disability244Jan 1, 2025$177,283$12,400
DELTA DENTAL PLAN OF MAINEDental344Jan 1, 2025$162,774$6,749
UNUM INSURANCE COMPANY—74Jan 1, 2025$36,043$6,669
RED TREE INSURANCE COMPANY, INC.Vision307Jan 1, 2025$26,375$3,027

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
HEALTHREACH COMMUNITY HEALTH CENTERS
EIN 01-6023664

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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