Form 5500 · Employee benefit plan · WILLISTON, VT
PCHP-MEDICAL SERVICES ORGANAZATION LLP
PCHP-MEDICAL SERVICES ORGANAZATION LLP of WILLISTON, VT insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is PAYCHEX INSURANCE AGENCY INC. Coverage is written through BLUE CROSS AND BLUE SHIELD OF VERMONT and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 03-0362571 · plan 506 · as of Aug 2026
Plan brief
Schedule A lists 13 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS AND BLUE SHIELD OF VERMONT, covers 56 people.
Reported premium across the insured contracts is $1,146,244, with $50,296 in disclosed broker commissions — about 4.4% 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.
PAYCHEX INSURANCE AGENCY INC is the broker of record on 4 of the 13 contracts; the rest name a different broker or none.
8 carriers appear on the filing — BLUE CROSS AND BLUE SHIELD OF VERMONT, UNUM LIFE INSURANCE COMPANY OF AMERICA, DELTA DENTAL PLAN OF VERMONT, INC. and COLONIAL LIFE & ACCIDENT INSURANCE COMPANY among them — with BLUE CROSS AND BLUE SHIELD OF VERMONT writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | — | 36 | December | $45,404 | $27,888 |
| DELTA DENTAL PLAN OF VERMONT, INC. | Dental | 212 | December | $82,485 | $4,876 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 159 | December | $84,125 | $4,398 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 151 | December | $37,731 | $3,887 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 52 | December | $22,277 | $3,342 |
| VISION SERVICE PLAN | Vision | 87 | December | $15,206 | $2,277 |
| THE PAUL REVERE LIFE INSURANCE COMPANY | — | 6 | December | $3,959 | $2,182 |
| MVP HEALTHCARE | Health | 2 | December | $23,024 | $844 |
| HIGHMARK WESTERN AND NORTHEASTERN NEW YORK INC. | Health | 1 | December | $11,420 | $602 |
| BLUE CROSS AND BLUE SHIELD OF VERMONT | Health | 2 | December | $15,843 | $0 |
| BLUE CROSS AND BLUE SHIELD OF VERMONT | Health | 37 | December | $303,508 | $0 |
| BLUE CROSS AND BLUE SHIELD OF VERMONT | Health | 56 | December | $414,652 | $0 |
| BLUE CROSS AND BLUE SHIELD OF VERMONT | Health | 10 | December | $86,610 | $0 |
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