Form 5500 · Employee benefit plan · JOHNSTON, RI
I.U.O.E. LOCAL 57 HEALTH AND
The filing calls this plan LOCAL 57 I.U.O.E. HEALTH & WELFARE FUND.
I.U.O.E. LOCAL 57 HEALTH AND of JOHNSTON, RI spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is THE SEGAL COMPANY. Coverage is written through BLUE CROSS BLUE SHIELD OF RHODE ISLAND and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 05-0269242 · plan 501 · plan year 2025, filed Jul 9, 2026
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170 other employer plans in Rhode Island have policy years ending in December. 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 plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.
Benefits declared on this filing
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 and life; the largest, with BLUE CROSS BLUE SHIELD OF RHODE ISLAND, covers 1,977 people.
The filing declares health, dental, life and vision. Vision appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $17,913,999, with $5,809 in disclosed broker commissions — about 0% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in February. The plan is on a split renewal cycle.
THE SEGAL COMPANY is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ULLICO | Life | 1,087 | Mar 1, 2026 | $193,650 | $5,809 |
| BLUE CROSS BLUE SHIELD OF RHODE ISLAND | Health | 1,977 | Jan 1, 2026 | $16,942,389 | $0 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 1,924 | Jan 1, 2026 | $777,960 | $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. The service providers are named on Schedule C of this filing. We publish company names only.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
How this plan compares
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Renewal calendar
170 other employer plans in Rhode Island are January 1 renewals (policy year ends December).
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