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Form 5500 · Employee benefit plan · AUBURN, NY

AUBURN COMMUNITY HOSPITAL

AUBURN COMMUNITY HOSPITAL of AUBURN, NY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is TOMPKINS INSURANCE. Coverage is written through DELTA DENTAL OF NEW YORK and 5 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 15-0532054 · plan 505 · as of Jul 2026

Participants
628
Carriers on file
6
Disclosed commissions
$34,228
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
DELTA DENTAL OF NEW YORKDental878December$18,358
EXCELLUS BLUECROSS BLUESHIELDStop-loss157December$7,349
THE GUARDIAN LIFE INSURANCE COMPANY599December$5,353
EYEMED VISION CAREVision656December$3,140
UNUM LIFE INSURANCE COMPANY6December$28
THE PAUL REVERE LIFE INSURANCE COMPANY0December$0

Questions

Who is AUBURN COMMUNITY HOSPITAL's benefits broker?

Per its most recent Form 5500 Schedule A, AUBURN COMMUNITY HOSPITAL's broker of record is TOMPKINS INSURANCE.

What insurance carrier does AUBURN COMMUNITY HOSPITAL use?

AUBURN COMMUNITY HOSPITAL's benefit plan is written through DELTA DENTAL OF NEW YORK, among 6 disclosed carriers.

When does AUBURN COMMUNITY HOSPITAL's group plan renew?

The most recent Schedule A policy period for AUBURN COMMUNITY HOSPITAL ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from AUBURN COMMUNITY HOSPITAL's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.