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Form 5500 · Employee benefit plan · MASPETH, NY

BIG GEYSER, INC.

The filing calls this plan BIG GEYSER, INC. HEALTH AND WELFARE BENEFIT PLAN. BIG GEYSER, INC.

BIG GEYSER, INC. of MASPETH, NY is a 202-participant wholesale trade employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is STERLING & STERLING, LLC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in November.

Benefits broker of record
Policy year ends
Novemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-3350407 · plan 501 · plan year 2025, filed Sep 14, 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.

All participants at the start of the year
202
Active at start of year
200
Active at end of year
678
Disclosed commissions
$164,238
Typical renewal
December 1

Benefits declared on this filing

Healthinsured — UNITEDHEALTHCARE INSURANCE COMPANY555 of 202 participants
Dentalinsured — UNITEDHEALTHCARE INSURANCE COMPANY555 of 202 participants
Visioninsured — UNITEDHEALTHCARE INSURANCE COMPANY555 of 202 participants
Lifeinsured — METROPOLITAN LIFE INSURANCE COMPANY208 of 202 participants on the largest contract
Disabilityinsured — METROPOLITAN LIFE INSURANCE COMPANY208 of 202 participants

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 3 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 555 people.

Reported premium across the insured contracts is $4,006,632, with $164,238 in disclosed broker commissions — about 4.1% of premium.

The most recent policy period ended in November, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

STERLING & STERLING, LLC is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including UNITEDHEALTHCARE INSURANCE COMPANY, METROPOLITAN LIFE INSURANCE COMPANY and LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNITEDHEALTHCARE INSURANCE COMPANYHealth, Dental, Vision555Dec 1, 2025$3,891,699$144,030
METROPOLITAN LIFE INSURANCE COMPANYLife, Disability208Dec 1, 2025$102,570$18,809
LINCOLN LIFE & ANNUITY COMPANY OF NEW YORKLife678Dec 1, 2025$12,363$1,399

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
BIG GEYSER, INC.
EIN 13-3350407

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 667 employees, 23 recordable cases, 435 days away from work.

EmployeesThe company's own average for the year
667
Hours worked
1,480,438
Recordable cases
23
Days away from work
435
Establishments filed under this EIN
2

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

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