Form 5500 · Employee benefit plan · FOXBORO, MA
WALPOLE OUTDOORS, LLC
The filing calls this plan WALPOLE OUTDOORS, LLC GROUP LIFE, HEALTH AND DENTAL INSURANCE PROGRAM.
WALPOLE OUTDOORS, LLC of FOXBORO, MA is a 189-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is BROWN & BROWN INSURANCE SERV INC. Coverage is written through BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-2556626 · plan 501 · plan year 2025, filed Jul 27, 2026
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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
Disability: COLONIAL LIFE & ACCIDENT INSURANCE COMPANY covers 12 of 189 participants (6.3%) on Schedule A.
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 5 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., covers 145 people.
Reported premium across the insured contracts is $1,461,686, with $51,323 in disclosed broker commissions — about 3.5% 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.
BROWN & BROWN INSURANCE SERV INC is the broker of record on 2 of the 5 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., DELTA DENTAL OF MASSACHUSETTS, EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA and COLONIAL LIFE & ACCIDENT INSURANCE COMPANY. BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Health | 145 | Jan 1, 2026 | $1,345,731 | $40,417 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Life | 172 | Jan 1, 2026 | $29,760 | $5,952 |
| DELTA DENTAL OF MASSACHUSETTS | Dental | 153 | Jan 1, 2026 | $70,901 | $3,556 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Vision | 146 | Jan 1, 2026 | $10,534 | $1,053 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life, Disability | 12 | Jan 1, 2026 | $4,760 | $345 |
Premium and claims on these contracts
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 4957921. For the contract year on this filing, the carrier reported $1,345,731 in premium earned and $1,005,176 in claims incurred. Dividing one by the other gives 75%.
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 4957921. For the contract year on this filing, the carrier reported $10,534 in premium earned and $2,653 in claims incurred. Dividing one by the other gives 25%.
- BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 4957921 reported $340,556 in retention.
- BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 4957921 reported $7,881 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.
Other plans filed by this employer
How this plan compares
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