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Form 5500 · Employee benefit plan · ROXBURY, MA

SUFFOLK CONSTRUCTION COMPANY

The filing calls this plan SUFFOLK CONSTRUCTION COMPANY, INC. WELFARE BENEFIT PLAN.

SUFFOLK CONSTRUCTION COMPANY of ROXBURY, MA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through PRUDENTIAL INSURANCE COMPANY OF AMERICA and 4 other carriers. 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 04-2776356 · plan 501 · plan year 2024, filed Sep 3, 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

Self-funded as reported

The filing names a third-party administrator on Schedule A and reports no medical premium.

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
1,835
Active at start of year
1,835
Active at end of year
1,998
Disclosed commissions
$1,836
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY20 of 1,835 participants (1.1%)
Dentaldeclared, not on Schedule A
Visioninsured — VISION SERVICE PLAN1,344 of 1,835 participants (73%)
Lifeinsured — PRUDENTIAL INSURANCE COMPANY OF AMERICA1,998 of 1,835 participants
Disabilityinsured — PRUDENTIAL INSURANCE COMPANY OF AMERICA1,998 of 1,835 participants on the largest contract

Health: PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY covers 20 of 1,835 participants (1.1%) on Schedule A.

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.

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 8 insured contracts covering health, vision, life and disability; the largest, with PRUDENTIAL INSURANCE COMPANY OF AMERICA, covers 1,998 people.

The filing declares health, vision, life, disability and dental. Dental appears 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 $2,687,339, with $1,836 in disclosed broker commissions — about 0.1% 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.

MERCER HEALTH AND BENEFITS, LLC is the broker of record on 1 of the 8 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
LLOYDS OF LONDONDisability9Jan 1, 2025$7,364$1,836
PRUDENTIAL INSURANCE COMPANY OF AMERICALife, Disability1,998Jan 1, 2025$2,094,658$0
VISION SERVICE PLANVision1,344Jan 1, 2025$253,837$0
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANYDisability118Jan 1, 2025$222,397$0
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANYDisability26Jan 1, 2025$56,058$0
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANYHealth20Jan 1, 2025$25,027$0
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANYDisability12Jan 1, 2025$23,346$0
PROVIDENT LIFE AND CASUALTY INSURANCE COMPANYDisability2Jan 1, 2025$4,652$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
SUFFOLK CONSTRUCTION COMPANY
EIN 04-2776356
PRUDENTIAL INS CO OF AMERICA
Named on Schedule C · EIN 22-1211670
$112,521
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 5,105 employees, 2 recordable cases, 0 days away from work.

EmployeesThe company's own average for the year
5,105
Hours worked
9,211,037
Recordable cases
2
Days away from work
0
Establishments filed under this EIN
39

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

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Renewal calendar

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

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