Form 5500 · Employee benefit plan · NEW HAVEN, CT
AF BROOKLYN CHARTER SCHOOLS
The filing calls this plan AF BROOKLYN CHARTER SCHOOLS WELFARE BENEFIT PLAN.
AF BROOKLYN CHARTER SCHOOLS of NEW HAVEN, CT spreads its employee benefits across 6 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is MDG ASSOCIATES OF CONNECTICUT. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 5 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-5118947 · plan 501 · plan year 2024, filed Jan 28, 2026
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101 other employer plans in Connecticut have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Also declared: death benefits.
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 9 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 1,258 people.
Reported premium across the insured contracts is $2,295,525, with $278,797 in disclosed broker commissions — about 12% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
MDG ASSOCIATES OF CONNECTICUT is the broker of record on all 9 contracts.
6 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, UNITED OF OMAHA LIFE INSURANCE COMPANY, DELTA DENTAL OF CONNECTICUT, INC. and MUTUAL OF OMAHA INSURANCE COMPANY. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 1,258 | Jul 1, 2024 | $1,038,129 | $169,827 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 1,099 | Jul 1, 2024 | $523,197 | $51,735 |
| DELTA DENTAL OF CONNECTICUT, INC. | Dental | 1,212 | Jul 1, 2024 | $471,072 | $36,753 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 275 | Jul 1, 2024 | $55,512 | $7,634 |
| MUTUAL OF OMAHA INSURANCE COMPANY | Disability | 387 | Jul 1, 2024 | $97,125 | $4,522 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 273 | Jul 1, 2024 | $23,441 | $3,225 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 249 | Jul 1, 2024 | $18,065 | $2,456 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Vision | 810 | Jul 1, 2024 | $67,702 | $2,116 |
| ALPHA DENTAL PROGRAMS, INC. | Dental | 83 | Jul 1, 2024 | $1,282 | $529 |
Premium and claims on these contracts
CIGNA HEALTH AND LIFE INSURANCE COMPANY, contract 3343586. For the contract year on this filing, the carrier reported $710,985 in premium earned and $1,053,359 in claims incurred. Dividing one by the other gives 148%.
DELTA DENTAL OF CONNECTICUT, INC., contract 04384. For the contract year on this filing, the carrier reported $471,072 in premium earned and $340,747 in claims incurred. Dividing one by the other gives 72%.
- CIGNA HEALTH AND LIFE INSURANCE COMPANY, contract 3343586 reported $830,274 in retention.
- DELTA DENTAL OF CONNECTICUT, INC., contract 04384 reported $105,904 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.
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Renewal calendar
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