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Form 5500 · Employee benefit plan · PROVIDENCE, RI

PAUL CUFFEE SCHOOL

The filing calls this plan PAUL CUFFEE SCHOOL EMPLOYEE HEALTH AND WELFARE PLAN.

PAUL CUFFEE SCHOOL of PROVIDENCE, RI is a 144-participant education employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is DIGITAL INSURANCE INC.. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in July.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 02-0518947 · plan 502 · plan year 2025, filed Feb 11, 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.

All participants at the start of the year
144
Active at start of year
144
Active at end of year
131
Disclosed commissions
$12,729
Typical renewal
August 1

Benefits declared on this filing

Healthinsured — UNITEDHEALTHCARE INSURANCE COMPANY86 of 144 participants (60%)
Dentalinsured — DELTA DENTAL OF RHODE ISLAND213 of 144 participants
Visioninsured — EYEMED VISION CARE105 of 144 participants (73%)
Lifeinsured — TRANSAMERICA LIFE INSURANCE COMPANY1 of 144 participants (0.7%)
Disabilityinsured — TRANSAMERICA LIFE INSURANCE COMPANY103 of 144 participants (72%) on the largest contract

Life: TRANSAMERICA LIFE INSURANCE COMPANY covers 1 of 144 participants (0.7%) on Schedule A.

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 6 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 86 people.

Reported premium across the insured contracts is $1,483,343, with $12,729 in disclosed broker commissions — about 0.9% of premium.

The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.

DIGITAL INSURANCE INC. is the broker of record on 5 of the 6 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including UNITEDHEALTHCARE INSURANCE COMPANY, DELTA DENTAL OF RHODE ISLAND, TRANSAMERICA LIFE INSURANCE COMPANY and EYEMED VISION CARE. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
TRANSAMERICA LIFE INSURANCE COMPANYDisability103Aug 1, 2025$41,694$6,254
DELTA DENTAL OF RHODE ISLANDDental213Aug 1, 2025$87,287$3,146
TRANSAMERICA LIFE INSURANCE COMPANYDisability131Aug 1, 2025$12,146$1,822
EYEMED VISION CAREVision105Aug 1, 2025$6,740$782
TRANSAMERICA LIFE INSURANCE COMPANYLife1Aug 1, 2025$4,836$725
UNITEDHEALTHCARE INSURANCE COMPANYHealth86Aug 1, 2025$1,330,640$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

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