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Form 5500 · Employee benefit plan · ROSELAND, NJ

AUTOMATIC DATA PROCESSING, INC.

The filing calls this plan AUTOMATIC DATA PROCESSING, INC. FLEX 2000 PLAN.

AUTOMATIC DATA PROCESSING, INC. of ROSELAND, NJ insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. (CALIFORNIA) and 14 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 22-1467904 · plan 503 · plan year 2024, filed Oct 15, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

1,512 other employer plans in New Jersey 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

Both, as reported

The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.

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.

All participants at the start of the year
34,693
Active at start of year
34,539
Active at end of year
34,063
Disclosed commissions
$499,982
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — KAISER FOUNDATION HEALTH PLAN, INC. (CALIFORNIA)1,376 of 34,693 participants (4%) on the largest contract
Dentalinsured — AETNA LIFE INSURANCE COMPANY5,937 of 34,693 participants (17%) on the largest contract
Visioninsured — VISION SERVICE PLAN22,862 of 34,693 participants (66%)
Lifeinsured — PRUDENTIAL INSURANCE COMPANY OF AMERICA34,805 of 34,693 participants
Disabilityinsured — PRUDENTIAL INSURANCE COMPANY OF AMERICA24,127 of 34,693 participants (70%)

Health: the largest of the 12 insured health contracts, with KAISER FOUNDATION HEALTH PLAN, INC. (CALIFORNIA), covers 1,376 of 34,693 participants (4%) on Schedule A.

Also declared: death benefits, 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 20 insured contracts covering health, dental, vision, life and disability.

Reported premium across the insured contracts is $39,778,494, with $499,982 in disclosed broker commissions — about 1.3% 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.

MERCER HEALTH AND BENEFITS, LLC is the broker of record on 4 of the 20 contracts; the rest name a different broker or none.

15 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN, INC. (CALIFORNIA), PRUDENTIAL INSURANCE COMPANY OF AMERICA, VISION SERVICE PLAN and KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.. KAISER FOUNDATION HEALTH PLAN, INC. (CALIFORNIA) writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
PRUDENTIAL INSURANCE COMPANY OF AMERICADisability24,127Jan 1, 2025$4,919,977$164,367
NATIONAL UNION/CHARTIS—34,539Jan 1, 2025$1,213,419$151,677
METLIFE LEGAL PLANS—6,005Jan 1, 2025$1,661,044$142,557
NATIONAL UNION/CHARTIS—34,539Jan 1, 2025$275,019$41,253
METROPOLITAN LIFE INSURANCE COMPANY—5Jan 1, 2025$6,109$128
KAISER FOUNDATION HEALTH PLAN, INC. (CALIFORNIA)Health1,376Jan 1, 2025$14,330,655$0
PRUDENTIAL INSURANCE COMPANY OF AMERICALife34,805Jan 1, 2025$5,024,862$0
VISION SERVICE PLANVision22,862Jan 1, 2025$3,731,752$0
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.Health288Jan 1, 2025$2,534,194$0
KAISER FOUNDATION HEALTH PLAN, INC. (CALIFORNIA)Health228Jan 1, 2025$2,188,521$0
AETNA LIFE INSURANCE COMPANYHealth, Dental5,937Jan 1, 2025$2,026,854$0
HAWAII MEDICAL SERVICE ASSOCIATIONHealth67Jan 1, 2025$409,374$0
KAISER FOUNDATION HEALTH PLAN OF COLORADOHealth30Jan 1, 2025$315,663$0
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWESTHealth31Jan 1, 2025$287,478$0
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.Health39Jan 1, 2025$284,577$0
TRIPLE S SALUD, INC.Health31Jan 1, 2025$263,786$0
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth, Dental3Jan 1, 2025$132,921$0
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth, Dental5Jan 1, 2025$85,490$0
KAISER FOUNDATION HEALTH PLAN OF HAWAIIHealth4Jan 1, 2025$52,314$0
NATIONAL UNION/CHARTIS—34,539Jan 1, 2025$34,485$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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
AUTOMATIC DATA PROCESSING, INC.
EIN 22-1467904
AETNA
Contract administrator · Claims processing · EIN 06-6033492
$7,755,555
paid directly by the plan
UNITED HEALTHCARE
Claims processing · EIN 22-1211670
$5,342,951
paid directly by the plan
PERSONIFY HEALTH, INC
Contract administrator · EIN 20-2547480
$2,926,350
paid directly by the plan
COHNREZNICK LLP
Accounting and audit · EIN 22-1478099
$42,510
paid directly by the plan
MERCER HEALTH & BENEFITS LLC
ACTUARY · EIN 13-2834414
$42,427
paid directly by the plan
PRICEWATERHOUSE COOPERS LLP
CONSULTING · EIN 13-4008324
$17,877
paid directly by the plan
SEGAL COMPANY
CONSULTANTS · EIN 13-1835864
$16,940
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Money the plan held and paid out

Plan assets at year end
$172,529,865
Paid out in benefits
$392,412,726
Paid to insurance carriersSchedule H, line 2e(2)
$37,965,072
Independent accountantEIN 33-4144829
COHNREZNICK LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

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