Form 5500 · Employee benefit plan · ANDOVER, MA
MERCURY SYSTEMS, INC.
Public Form 5500 records show how MERCURY SYSTEMS, INC. of ANDOVER, MA, a manufacturing employer, structures its employee benefits. Its broker of record is CUSTOM BENEFIT PROGRAMS INC. Coverage is written through BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-2741391 · plan 502 · as of Aug 2026
Plan brief
Schedule A lists 11 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., covers 3,675 people.
Reported premium across the insured contracts is $33,394,851, with $199,402 in disclosed broker commissions — about 0.6% 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.
CUSTOM BENEFIT PROGRAMS INC is the broker of record on 4 of the 11 contracts; the rest name a different broker or none.
7 carriers appear on the filing — BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., METROPOLITAN LIFE INSURANCE COMPANY, PRUDENTIAL INSURANCE COMPANY OF AMERICA and VISION SERVICE PLAN among them — with BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| METROPOLITAN LIFE INSURANCE COMPANY | — | 778 | December | $180,262 | $59,513 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 2,754 | December | $310,654 | $58,064 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 796 | December | $167,483 | $38,832 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 929 | December | $91,255 | $34,659 |
| METROPOLITAN PROPERTY AND CASUALTY INSURANCE CO. | — | 324 | December | $91,913 | $8,334 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 11 | December | $22,011 | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 4,039 | December | $2,509,027 | $0 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Health | 3,675 | December | $27,961,298 | $0 |
| FEDERAL INSURANCE COMPANY | — | 2,244 | December | — | $0 |
| VISION SERVICE PLAN | Vision | 1,753 | December | $349,931 | $0 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, Disability | 2,690 | December | $1,711,017 | $0 |
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