Form 5500 · Employee benefit plan · WESTERLY, RI
THE MOORE COMPANY
The filing calls this plan HEALTH BENEFITS PLAN.
THE MOORE COMPANY of WESTERLY, RI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is THE HILB GROUP OF NEW ENGLAND LLC. Coverage is written through BLUE CROSS BLUE SHIELD OF RHODE ISLAND. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 05-0185270 · plan 530 · plan year 2024, filed Oct 2, 2025
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
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
The filing discloses a single insured line, health, through BLUE CROSS BLUE SHIELD OF RHODE ISLAND, covering 201 people.
Reported premium across the insured contracts is $1,339,911, with $2,320 in disclosed broker commissions — about 0.2% 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.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF RHODE ISLAND | Health | 201 | Jan 1, 2025 | $1,339,911 | $2,320 |
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.
Reported to OSHA
Reported to OSHA for 2025: 157 employees, 4 recordable cases, 81 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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