Form 5500 · Employee benefit plan · PORTLAND, ME
SHALOM HOUSE, INC.
SHALOM HOUSE, INC. of PORTLAND, ME files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through HARVARD PILGRIM HEALTH CARE and 5 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-7119236 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| HARVARD PILGRIM HEALTH CARE | Health | 129 | June | $40,324 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 193 | June | $13,498 |
| DELTA DENTAL PLAN OF MAINE | Dental | 255 | June | $4,009 |
| RED TREE INSURANCE COMPANY, INC | Vision | 260 | June | $1,332 |
| UNUM INSURANCE COMPANY | — | 12 | June | $1,017 |
| HPHC INSURANCE COMPANY | Health | 3 | June | $636 |
Questions
Who is SHALOM HOUSE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, SHALOM HOUSE, INC.'s broker of record is USI INSURANCE SERVICES LLC.
What insurance carrier does SHALOM HOUSE, INC. use?
SHALOM HOUSE, INC.'s benefit plan is written through HARVARD PILGRIM HEALTH CARE, among 6 disclosed carriers.
When does SHALOM HOUSE, INC.'s group plan renew?
The most recent Schedule A policy period for SHALOM HOUSE, INC. ended in June. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from SHALOM HOUSE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.