Form 5500 · Employee benefit plan · BOSTON, MA
PINE STREET INN, INC.
Public Form 5500 records show how PINE STREET INN, INC. (BOSTON, MA) structures its employee benefits. Its broker of record is BROWN & BROWN INSURANCE SERVICES. Coverage is written through HARVARD PILGRIM HEALTH CARE and 4 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-2516093 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| HARVARD PILGRIM HEALTH CARE | Health | 518 | June | $59,059 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Dental | 548 | June | $16,336 |
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 563 | June | $9,266 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | — | 11 | June | $3,144 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY (EYEMED VISION CARE) | Vision | 380 | June | $2,122 |
Questions
Who is PINE STREET INN, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, PINE STREET INN, INC.'s broker of record is BROWN & BROWN INSURANCE SERVICES.
What insurance carrier does PINE STREET INN, INC. use?
PINE STREET INN, INC.'s benefit plan is written through HARVARD PILGRIM HEALTH CARE, among 5 disclosed carriers.
When does PINE STREET INN, INC.'s group plan renew?
The most recent Schedule A policy period for PINE STREET INN, INC. ended in June. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PINE STREET INN, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.