Form 5500 · Employee benefit plan · SPRINGFIELD, MA
PATHLIGHT
The filing calls this plan GROUP INSURANCE PLAN.
PATHLIGHT of SPRINGFIELD, MA spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is UNKNOWN. Coverage is written through HEALTH NEW ENGLAND, INC. and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-2210685 · plan 501 · plan year 2025, filed Jan 9, 2026
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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.
Benefits declared on this filing
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.
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, vision, life and disability; the largest, with HEALTH NEW ENGLAND, INC., covers 163 people.
The filing declares health, vision, life, disability and dental. Dental 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 $2,584,560, with $106,449 in disclosed broker commissions — about 4.1% of premium.
The health contract's policy period ended in June, while at least one ancillary line's policy period ended in January. The plan is on a split renewal cycle.
UNKNOWN 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 |
|---|---|---|---|---|---|
| HEALTH NEW ENGLAND, INC. | Health | 163 | Jul 1, 2025 | $2,537,996 | $100,358 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 245 | Feb 1, 2025 | $37,434 | $5,180 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 214 | Feb 1, 2025 | $9,130 | $911 |
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. We publish company names only.
Other plans filed by this employer
How this plan compares
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