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Form 5500 · Employee benefit plan · CHELSEA, MA

NORTH SUFFOLK COMMUNITY SERVICES, INC.

The filing calls this plan NORTH SUFFOLK MENTAL HEALTH ASSOCIATION, INC. HEALTH AND WELFARE PLAN.

NORTH SUFFOLK COMMUNITY SERVICES, INC. of CHELSEA, MA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is BROWN & BROWN OF MASSACHUSETTS, LLC. Coverage is written through AETNA LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Policy year ends
Juneas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-2317215 · plan 502 · plan year 2025, filed Feb 6, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

278 other employer plans in Massachusetts have policy years ending in June. 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 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
620
Active at start of year
620
Active at end of year
743
Disclosed commissions
$27,734
Typical renewal
July 1

Benefits declared on this filing

Healthinsured — AETNA LIFE INSURANCE COMPANY731 of 620 participants
Dentalinsured — AETNA LIFE INSURANCE COMPANY731 of 620 participants
Visioninsured — EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.269 of 620 participants (43%) on the largest contract
Lifeinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY87 of 620 participants (14%) on the largest contract
Disabilityinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY162 of 620 participants (26%) on the largest contract

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.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

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 8 insured contracts covering health, dental, vision, life and disability; the largest, with AETNA LIFE INSURANCE COMPANY, covers 731 people.

Reported premium across the insured contracts is $6,482,156, with $27,734 in disclosed broker commissions — about 0.4% 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.

BROWN & BROWN OF MASSACHUSETTS, LLC is the broker of record on all 8 contracts.

3 carriers appear on the filing, including AETNA LIFE INSURANCE COMPANY, THE LINCOLN NATIONAL LIFE INSURANCE COMPANY and EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.. AETNA LIFE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife87Jul 1, 2025$43,864$12,293
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability162Jul 1, 2025$33,466$6,647
EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.Vision269Jul 1, 2025$35,197$3,451
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability271Jul 1, 2025$30,454$3,334
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife743Jul 1, 2025$43,194$1,498
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife93Jul 1, 2025$2,450$510
EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.Vision0Jul 1, 2025$8$1
AETNA LIFE INSURANCE COMPANYHealth, Dental731Jul 1, 2025$6,293,523$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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
NORTH SUFFOLK COMMUNITY SERVICES, INC.
EIN 04-2317215

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

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Renewal calendar

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