Form 5500 · Employee benefit plan · ANDOVER, MA
VICOR CORPORATION
The filing calls this plan VICOR HEALTH AND WELFARE PLAN.
VICOR CORPORATION of ANDOVER, MA spreads its employee benefits across 10 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is MARSH & MCLENNAN AGENCY LLC (NE). Coverage is written through BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. and 9 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-2742817 · plan 501 · plan year 2025, filed Apr 10, 2026
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47 other employer plans in Massachusetts have policy years ending in November. 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.
Benefits declared on this filing
4 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
Also declared: prepaid legal, 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 10 insured contracts covering health, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., covers 1,477 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, placed with a carrier that is not on this filing, or written on one of the 4 contracts here that do not say what they cover.
Reported premium across the insured contracts is $14,264,838, with $319,868 in disclosed broker commissions — about 2.2% of premium.
The health contract's policy period ended in November, while at least one ancillary line's policy period ended in May. The plan is on a split renewal cycle.
MARSH & MCLENNAN AGENCY LLC (NE) is the broker of record on 1 of the 10 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Health | 1,477 | Dec 1, 2025 | $12,582,035 | $251,996 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Life, Disability | 1,349 | Dec 1, 2025 | $1,051,767 | $34,201 |
| HARTFORD LIFE AND ACCIDENT | — | 151 | Dec 1, 2025 | $84,370 | $17,182 |
| DELAWARE AMERICAN LIFE INSURANCE OF AMERICA | Life | 49 | Dec 1, 2025 | $64,222 | $6,422 |
| ARMADACARE | Health | 28 | Dec 1, 2025 | $389,841 | $4,038 |
| VISION SERVICE PLAN | Vision | 477 | Dec 1, 2025 | $66,254 | $2,175 |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | — | 66 | Dec 1, 2025 | $11,293 | $1,944 |
| ZURICH AMERICAN INSURANCE COMPANY | — | 930 | Jun 1, 2025 | $6,599 | $990 |
| FOUR EVER LIFE INS CO. | Health | 0 | Jun 1, 2025 | $6,486 | $649 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 0 | May 1, 2025 | $1,971 | $271 |
Premium and claims on this contract
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 4956203. For the contract year on this filing, the carrier reported $12,582,035 in premium earned and $11,887,540 in claims incurred. Dividing one by the other gives 94%.
- BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 4956203 reported $694,495 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Reported to OSHA
Reported to OSHA for 2025: 993 employees, 9 recordable cases, 72 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
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