Form 5500 · Employee benefit plan · AMSTERDAM, NY
ALPIN HAUS SKI SHOP, INC.
The filing calls this plan ALPIN HAUS SKI SHOP, INC. WELFARE BENEFIT PLAN.
ALPIN HAUS SKI SHOP, INC. of AMSTERDAM, NY is a 189-participant retail employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is NFP CORPORATE SERVICES (NY) LLC. Coverage is written through BLUESHIELD OF NORTHEASTERN NEW YORK and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 14-1501133 · plan 502 · plan year 2025, filed Jul 9, 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
3 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
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 10 insured contracts covering health, dental, vision and disability; the largest, with BLUESHIELD OF NORTHEASTERN NEW YORK, covers 129 people.
The filing declares health, dental, vision, disability and life. Life 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 3 contracts here that do not say what they cover.
Reported premium across the insured contracts is $1,536,713, with $63,882 in disclosed broker commissions — about 4.2% 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.
NFP CORPORATE SERVICES (NY) LLC 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 |
|---|---|---|---|---|---|
| BLUESHIELD OF NORTHEASTERN NEW YORK | Health | 129 | Jan 1, 2026 | $1,376,819 | $50,147 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 60 | Jan 1, 2026 | $30,050 | $4,507 |
| DELTA DENTAL OF CALIFORNIA | Dental | 144 | Jan 1, 2026 | $74,414 | $3,721 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 78 | Jan 1, 2026 | $7,917 | $1,633 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 34 | Jan 1, 2026 | $8,451 | $1,283 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 41 | Jan 1, 2026 | $3,984 | $782 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 18 | Jan 1, 2026 | $4,813 | $722 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 21 | Jan 1, 2026 | $4,463 | $669 |
| ANTHEM BLUE CROSS | Vision | 113 | Jan 1, 2026 | $10,449 | $418 |
| UNITED CONCIERGE MEDICINE | — | 305 | Jan 1, 2026 | $15,353 | $0 |
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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