Form 5500 · Employee benefit plan · CHESTNUT HILL, MA
THE COUNTRY CLUB
Public Form 5500 records show how THE COUNTRY CLUB (CHESTNUT HILL, MA) structures its employee benefits. Its broker of record is BROWN & BROWN OF MA LLC. Coverage is written through BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. and 3 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-1212940 · plan 502 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Health, Dental | 78 | March | $32,987 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 119 | March | $7,751 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 113 | March | $4,555 |
| VISION SERVICE PLAN | Vision | 28 | March | $263 |
Questions
Who is THE COUNTRY CLUB's benefits broker?
Per its most recent Form 5500 Schedule A, THE COUNTRY CLUB's broker of record is BROWN & BROWN OF MA LLC.
What insurance carrier does THE COUNTRY CLUB use?
THE COUNTRY CLUB's benefit plan is written through BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., among 4 disclosed carriers.
When does THE COUNTRY CLUB's group plan renew?
The most recent Schedule A policy period for THE COUNTRY CLUB ended in March. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from THE COUNTRY CLUB's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.