Form 5500 · Employee benefit plan · BURLINGTON, MA
SEKISUI AMERICA CORPORATION
The filing calls this plan SEKISUI HEALTH BENEFITS PLAN.
SEKISUI AMERICA CORPORATION of BURLINGTON, MA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ROBERT G RELPH AGENCY INC.. Coverage is written through BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 22-2492181 · plan 521 · plan year 2025, filed May 26, 2026
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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
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, 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 4 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., covers 3,221 people.
Reported premium across the insured contracts is $26,292,715, with $605,657 in disclosed broker commissions — about 2.3% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in August. The plan is on a split renewal cycle.
ROBERT G RELPH AGENCY INC. is the broker of record on 3 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., HARTFORD LIFE AND ACCIDENT, DELTA DENTAL OF NEW JERSEY, INC. and FEDERAL INSURANCE COMPANY. BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Health, Vision | 3,221 | Jan 1, 2026 | $23,492,419 | $365,668 |
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 1,791 | Jan 1, 2026 | $1,549,474 | $165,845 |
| DELTA DENTAL OF NEW JERSEY, INC. | Dental | 3,143 | Jan 1, 2026 | $1,239,413 | $71,292 |
| FEDERAL INSURANCE COMPANY | — | 1,562 | Sep 1, 2025 | $11,409 | $2,852 |
Premium and claims on this contract
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 4956849. For the contract year on this filing, the carrier reported $23,492,419 in premium earned and $22,558,830 in claims incurred. Dividing one by the other gives 96%.
- BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 4956849 reported $933,589 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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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Renewal calendar
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