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Form 5500 · Employee benefit plan · ACTON, MA

TPS GROUP HOLDINGS LLC

The filing calls this plan THE PAPER STORE LLC EMPLOYEE BENEFIT PLAN.

TPS GROUP HOLDINGS LLC of ACTON, MA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is PIPER JORDAN HEALTH & BENEFITS, LLC. Coverage is written through HARVARD PILGRIM HEALTH CARE and 5 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 85-2245484 · plan 501 · plan year 2025, filed Aug 12, 2026

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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

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.

All participants at the start of the year
3,388
Active at start of year
3,386
Active at end of year
3,269
Disclosed commissions
$169,589
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — HARVARD PILGRIM HEALTH CARE247 of 3,388 participants (7.3%) on the largest contract
Dentalinsured — DELTA DENTAL OF MASSACHUSETTS592 of 3,388 participants (17%)
Visioninsured — EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.461 of 3,388 participants (14%)
Lifeinsured — HARTFORD LIFE AND ACCIDENT913 of 3,388 participants (27%)
Disabilityinsured — HARTFORD LIFE AND ACCIDENT913 of 3,388 participants (27%)

Health: the largest of the 3 insured health contracts, with HARVARD PILGRIM HEALTH CARE, covers 247 of 3,388 participants (7.3%) on Schedule A.

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

Reported premium across the insured contracts is $5,191,662, with $169,589 in disclosed broker commissions — about 3.3% 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.

PIPER JORDAN HEALTH & BENEFITS, LLC is the broker of record on 3 of the 7 contracts; the rest name a different broker or none.

6 carriers appear on the filing, including HARVARD PILGRIM HEALTH CARE, HPHC INSURANCE COMPANY, DELTA DENTAL OF MASSACHUSETTS and HARTFORD LIFE AND ACCIDENT. HARVARD PILGRIM HEALTH CARE writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
HARVARD PILGRIM HEALTH CAREHealth247Jan 1, 2026$2,175,261$70,019
HARVARD PILGRIM HEALTH CAREHealth233Jan 1, 2026$1,856,117$49,196
HPHC INSURANCE COMPANYHealth100Jan 1, 2026$782,080$22,626
DELTA DENTAL OF MASSACHUSETTSDental592Jan 1, 2026$232,170$12,530
HARTFORD LIFE AND ACCIDENTLife, Disability913Jan 1, 2026$74,998$8,876
CONTINENTAL AMERICAN INSURANCE COMPANY—135Jan 1, 2026$26,705$3,925
EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.Vision461Jan 1, 2026$44,331$2,417

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
TPS GROUP HOLDINGS LLC
EIN 85-2245484

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 3,939 employees, 98 recordable cases, 2,096 days away from work.

EmployeesThe company's own average for the year
3,939
Hours worked
5,318,184
Recordable cases
98
Days away from work
2,096
Establishments filed under this EIN
105

Source: OSHA Injury Tracking Application establishment data, 2025.

3 establishments filed under this EIN are left out of these figures: the hours and employees they reported could not both be right.

Other plans filed by this employer

How this plan compares

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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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