form5500lookup

Form 5500 · Employee benefit plan · NORWELL, MA

NORWELL VISITING NURSE ASSOC., INC.

The filing calls this plan NORWELL VNA AND HOSPICE HEALTH AND WELFARE PLAN.

NORWELL VISITING NURSE ASSOC., INC. of NORWELL, 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 NEW ENGLAND LLC. Coverage is written through MASS GENERAL BRIGHAM HEALTH PLAN and 4 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-2104797 · plan 501 · plan year 2024, filed Sep 26, 2025

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

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
203
Active at start of year
203
Active at end of year
268
Disclosed commissions
$73,804
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — MASS GENERAL BRIGHAM HEALTH PLAN168 of 203 participants (83%)
Dentalinsured — SUN LIFE ASSURANCE COMPANY OF CANADA174 of 203 participants (86%)
Visioninsured — EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.297 of 203 participants
Lifeinsured — EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA268 of 203 participants on the largest contract
Disabilityinsured — EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA268 of 203 participants on the largest contract

Also declared: death benefits.

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 5 insured contracts covering health, dental, vision, life and disability; the largest, with MASS GENERAL BRIGHAM HEALTH PLAN, covers 168 people.

Reported premium across the insured contracts is $3,621,441, with $73,804 in disclosed broker commissions — about 2% 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.

HUB INTERNATIONAL NEW ENGLAND LLC is the broker of record on 4 of the 5 contracts; the rest name a different broker or none.

5 carriers appear on the filing, including MASS GENERAL BRIGHAM HEALTH PLAN, SUN LIFE ASSURANCE COMPANY OF CANADA, EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA and COLONIAL LIFE & ACCIDENT INSURANCE COMPANY. MASS GENERAL BRIGHAM HEALTH PLAN writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
MASS GENERAL BRIGHAM HEALTH PLANHealth168Jan 1, 2025$3,337,391$41,904
COLONIAL LIFE & ACCIDENT INSURANCE COMPANYLife, Disability25Jan 1, 2025$35,782$14,057
EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICALife, Disability268Jan 1, 2025$85,031$8,767
SUN LIFE ASSURANCE COMPANY OF CANADADental174Jan 1, 2025$144,565$7,228
EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.Vision297Jan 1, 2025$18,672$1,848

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
NORWELL VISITING NURSE ASSOC., INC.
EIN 04-2104797

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

Reported to OSHA

Reported to OSHA for 2025: 367 employees, 11 recordable cases, 308 days away from work.

EmployeesThe company's own average for the year
367
Hours worked
763,360
Recordable cases
11
Days away from work
308

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

How this plan compares

Subscribers see how this compares with similar plans in Massachusetts. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices

Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.

More employer plans in Massachusetts — largest plans, brokers, carriers and renewal months.