Form 5500 · Employee benefit plan · WARWICK, RI
KELLY AND PICERNE, INC.
KELLY AND PICERNE, INC. of WARWICK, RI insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is CBIZ BENEFITS & INSURANCE SERVICES. Coverage is written through BLUE CROSS BLUE SHIELD OF RHODE ISLAND and 4 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 05-0243936 · plan 505 · as of Aug 2026
Plan brief
Schedule A lists 5 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF RHODE ISLAND, covers 476 people.
Reported premium across the insured contracts is $3,360,091, with $45,087 in disclosed broker commissions — about 1.3% of premium.
The health contract's policy period ended in June, while at least one ancillary line renews in December — the plan is on a split renewal cycle.
CBIZ BENEFITS & INSURANCE SERVICES is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing — BLUE CROSS BLUE SHIELD OF RHODE ISLAND, DELTA DENTAL OF RHODE ISLAND, UNITEDHEALTHCARE INSURANCE COMPANY and TRIPLE S SALUD, INC. among them — with BLUE CROSS BLUE SHIELD OF RHODE ISLAND writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Life, Disability | 592 | December | $241,131 | $22,059 |
| TRIPLE S SALUD, INC. | Health | 60 | June | $179,946 | $8,907 |
| DELTA DENTAL OF RHODE ISLAND | Dental, Vision | 684 | December | $272,369 | $8,045 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Health | 50 | December | $122,776 | $6,076 |
| BLUE CROSS BLUE SHIELD OF RHODE ISLAND | Health | 476 | June | $2,543,869 | $0 |
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