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Form 5500 · Employee benefit plan · PAWTUCKET, RI

SOUTHERN NEW ENGLAND HEALTH CARE FOR WOMEN, LLC

The filing calls this plan SOUTHERN NEW ENGLAND HEALTH CARE FOR WOMEN, LLC EMPLOYEE BENEFIT PLAN.

Public Form 5500 records show how SOUTHERN NEW ENGLAND HEALTH CARE FOR WOMEN, LLC of PAWTUCKET, RI, a health care and social assistance employer, structures its employee benefits. Its broker of record is THE HILB GROUP OF NEW ENGLAND LLC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in January.

Benefits broker of record
Policy year ends
Januaryas filed for plan year 2026

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-2603721 · plan 501 · plan year 2026, filed Aug 25, 2026

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How this plan is funded

Both, as reported

The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
103
Active at start of year
103
Active at end of year
104
Disclosed commissions
$9,509
Typical renewal
February 1

Benefits declared on this filing

Healthinsured — UNITEDHEALTHCARE INSURANCE COMPANY11 of 103 participants (11%)
Dentalinsured — DELTA DENTAL OF RHODE ISLAND113 of 103 participants
Visioninsured — VISION SERVICE PLAN64 of 103 participants (62%)
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY36 of 103 participants (35%) on the largest contract
Disabilityinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY17 of 103 participants (17%)

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.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

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 6 insured contracts covering health, dental, vision, life and disability.

Reported premium across the insured contracts is $413,902, with $9,509 in disclosed broker commissions — about 2.3% of premium.

The most recent policy period ended in January, and the plan year ends January 31. Group contracts typically renew on that annual cycle.

THE HILB GROUP OF NEW ENGLAND LLC is the broker of record on all 6 contracts.

4 carriers appear on the filing, including UNITEDHEALTHCARE INSURANCE COMPANY, DELTA DENTAL OF RHODE ISLAND, UNITED OF OMAHA LIFE INSURANCE COMPANY and VISION SERVICE PLAN. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNITED OF OMAHA LIFE INSURANCE COMPANYLife36Feb 1, 2026$22,863$3,430
DELTA DENTAL OF RHODE ISLANDDental113Feb 1, 2026$54,222$2,534
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability17Feb 1, 2026$16,634$1,663
UNITED OF OMAHA LIFE INSURANCE COMPANYLife104Feb 1, 2026$12,379$1,238
VISION SERVICE PLANVision64Feb 1, 2026$7,876$644
UNITEDHEALTHCARE INSURANCE COMPANYHealth11Feb 1, 2026$299,928$0

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

Plan administrator on the filing
SOUTHERN NEW ENGLAND HEALTH CARE FOR WOMEN, LLC
EIN 45-2603721

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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