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Form 5500 · Employee benefit plan · LANCASTER, MA

RFK COMMUNITY ALLIANCE

The filing calls this plan RFK COMMUNITY ALLIANCE HEALTH AND WELFARE BENEFITS PLAN.

Public Form 5500 records show how RFK COMMUNITY ALLIANCE of LANCASTER, MA, a education employer, structures its employee benefits. Its broker of record is BROWN & BROWN OF MASSACHUSETTS, LLC. Coverage is written through METROPOLITAN LIFE INSURANCE COMPANY and 1 other carrier. 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 04-2103834 · plan 501 · plan year 2024, filed Jul 21, 2025

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

1,456 other employer plans in Massachusetts have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Funding not settled by the filing

The filing does not report enough to settle how this plan pays for benefits.

All participants at the start of the year
487
Active at start of year
487
Active at end of year
425
Disclosed commissions
$9,555
Typical renewal
January 1

Benefits declared on this filing

Healthdeclared, not on Schedule A
Dentaldeclared, not on Schedule A
Visioninsured — EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.330 of 487 participants (68%)
Lifeinsured — METROPOLITAN LIFE INSURANCE COMPANY425 of 487 participants (87%)
Disabilityinsured — METROPOLITAN LIFE INSURANCE COMPANY425 of 487 participants (87%)

Also declared: other welfare.

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 2 insured contracts covering vision, life and disability; the largest, with METROPOLITAN LIFE INSURANCE COMPANY, covers 425 people.

The filing declares vision, life, disability, health and dental. Health and dental appear 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 $147,261, with $9,555 in disclosed broker commissions — about 6.5% 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.

BROWN & BROWN OF MASSACHUSETTS, LLC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
METROPOLITAN LIFE INSURANCE COMPANYLife, Disability425Jan 1, 2025$125,054$7,531
EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.Vision330Jan 1, 2025$22,207$2,024

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

DENTAL SERVICES OF MASSACHUSETTS
Claims processing · Contract administrator · EIN 04-6143185
$0
paid directly by the plan
TOTAL ADMINISTRATIVE SERVICES CORP
Contract administrator · EIN 39-1561025
$0
paid directly by the plan

Named on Schedule C of this filing. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 526 employees, 19 recordable cases, 286 days away from work.

EmployeesThe company's own average for the year
526
Hours worked
877,949
Recordable cases
19
Days away from work
286

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

How this plan compares

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Renewal calendar

1,456 other employer plans in Massachusetts are January 1 renewals (policy year ends December).

Their policy years end in December, like this plan’s, so most renew January 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.

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