Form 5500 · Employee benefit plan · UTICA, NY
BLACK RIVER SYSTEMS COMPANY, INC.
BLACK RIVER SYSTEMS COMPANY, INC. of UTICA, NY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is GILROY KERNAN & GILROY INC. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 16-1515846 · plan 501 · as of Aug 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD | Health | 109 | December | $2,386,473 | $87,439 |
| GUARDIAN LIFE INSURANCE COMPANY | Dental, Vision, Life, Disability | 115 | December | $173,549 | $10,354 |
| AMERITAS LIFE INSURANCE COMPANY | Life | 110 | December | $89,087 | $7,306 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | — | 1 | December | $347 | $222 |
Questions
Who is BLACK RIVER SYSTEMS COMPANY, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, BLACK RIVER SYSTEMS COMPANY, INC.'s broker of record is GILROY KERNAN & GILROY INC.
What insurance carrier does BLACK RIVER SYSTEMS COMPANY, INC. use?
BLACK RIVER SYSTEMS COMPANY, INC.'s benefit plan is written through EXCELLUS BLUE CROSS BLUE SHIELD, among 4 disclosed carriers.
When does BLACK RIVER SYSTEMS COMPANY, INC.'s group plan renew?
The most recent Schedule A policy period for BLACK RIVER SYSTEMS COMPANY, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BLACK RIVER SYSTEMS COMPANY, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.