Form 5500 · Employee benefit plan · NEW YORK, NY
AMBULNZ HEALTH LLC
The filing calls this plan AMBULNZ LLC WELFARE BENEFIT PLAN.
AMBULNZ HEALTH LLC of NEW YORK, NY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CENTERSTONE INSURANCE AND FINANCIAL. Coverage is written through SUN LIFE AND HEALTH INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-4292804 · plan 503 · plan year 2024, filed Aug 19, 2025
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3,536 other employer plans in New York 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
Self-funded as reported
The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
Disability: the largest of the 2 insured disability contracts, with MUTUAL OF OMAHA INSURANCE COMPANY, covers 50 of 2,327 participants (2.1%) 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, disability and stop-loss; the largest, with SUN LIFE AND HEALTH INSURANCE COMPANY, covers 873 people.
The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.
Reported premium across the insured contracts is $2,026,149, with $90,679 in disclosed broker commissions — about 4.5% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in July. The plan is on a split renewal cycle.
CENTERSTONE INSURANCE AND FINANCIAL is the broker of record on 1 of the 7 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SUN LIFE AND HEALTH INSURANCE COMPANY | Stop-loss | 873 | Aug 1, 2024 | $1,464,555 | $67,543 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 914 | Jan 1, 2025 | $378,718 | $11,226 |
| COMPANION LIFE INSURANCE COMPANY | Life | 2,306 | Jan 1, 2025 | $63,798 | $4,486 |
| AMERITAS LIFE INSURANCE CORP. OF NEW YORK | Vision | 1,929 | Jan 1, 2025 | $64,402 | $2,322 |
| MUTUAL OF OMAHA INSURANCE COMPANY | Disability | 50 | Jan 1, 2025 | $22,066 | $2,066 |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life | 2,306 | Jan 1, 2025 | $18,251 | $1,713 |
| MUTUAL OF OMAHA INSURANCE COMPANY | Disability | 41 | Jan 1, 2025 | $14,359 | $1,323 |
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.
How this plan compares
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Renewal calendar
3,536 other employer plans in New York are January 1 renewals (policy year ends December).
Their policy years end in December, like this plan’s, so most renew January 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
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