Form 5500 · Employee benefit plan · HYANNIS, MA
HYANNIS AIR SERVICE, INC.
The filing calls this plan HYANNIS AIR SERVICE, INC EMPLOYEE BENEFIT PLAN.
HYANNIS AIR SERVICE, INC. of HYANNIS, MA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is HUB INTERNATIONAL NORTHEAST LLC. Coverage is written through BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-3005476 · plan 501 · plan year 2025, filed Nov 10, 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.
Benefits declared on this filing
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 3 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., covers 349 people.
Reported premium across the insured contracts is $3,580,899, with $111,933 in disclosed broker commissions — about 3.1% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
HUB INTERNATIONAL NORTHEAST LLC is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., SYMETRA LIFE INSURANCE COMPANY and RELIANCE STANDARD LIFE INSURANCE COMPANY. BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Health, Dental, Vision | 349 | Jul 1, 2025 | $3,285,502 | $62,979 |
| SYMETRA LIFE INSURANCE COMPANY | Life, Disability | 2,224 | Jul 1, 2025 | $283,074 | $46,489 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 39 | Jul 1, 2025 | $12,323 | $2,465 |
Premium and claims on this contract
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 4956945. For the contract year on this filing, the carrier reported $3,285,502 in premium earned and $2,935,895 in claims incurred. Dividing one by the other gives 89%.
- BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 4956945 reported $349,608 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Reported to OSHA
Reported to OSHA for 2025: 659 employees, 26 recordable cases, 15 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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