Form 5500 · Employee benefit plan · BOSTON, MA
T.J. KATSIROUBAS & SONS, INC.
The filing calls this plan T. J. KATSIROUBAS & SONS, INC. EMPLOYEE BENEFIT PLAN.
T.J. KATSIROUBAS & SONS, INC. of BOSTON, MA spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is EBS INSURANCE BROKERS, INC.. Coverage is written through MASS GENERAL BRIGHAM HEALTH PLAN and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-2767374 · plan 501 · plan year 2025, filed Feb 17, 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.
Benefits declared on this filing
Health: MASS GENERAL BRIGHAM HEALTH PLAN covers 7 of 158 participants (4.4%) on Schedule A.
Also declared: death benefits.
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 3 insured contracts covering health, dental and life.
Reported premium across the insured contracts is $744,582, with $23,358 in disclosed broker commissions — about 3.1% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in September. The plan is on a split renewal cycle.
EBS INSURANCE BROKERS, INC. is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including MASS GENERAL BRIGHAM HEALTH PLAN, DELTA DENTAL OF MASSACHUSETTS and RELIANCE STANDARD LIFE INSURANCE COMPANY. MASS GENERAL BRIGHAM HEALTH PLAN writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| MASS GENERAL BRIGHAM HEALTH PLAN | Health | 7 | Jan 1, 2025 | $681,705 | $19,605 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 134 | Oct 1, 2025 | $21,823 | $1,928 |
| DELTA DENTAL OF MASSACHUSETTS | Dental | 56 | Jul 1, 2025 | $41,054 | $1,825 |
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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