Form 5500 · Employee benefit plan · BROOKLYN, NY
BLOCK INSTITUTE, INC.
The filing calls this plan BLOCK INSTITUTE WELFARE BENEFIT PLAN.
Public Form 5500 records show how BLOCK INSTITUTE, INC. of BROOKLYN, NY, a education employer, structures its employee benefits. Its broker of record is ROCKVILLE BENEFIT ADVISORS. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 11-2338345 · plan 501 · plan year 2025, filed Jul 7, 2026
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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.
Benefits declared on this filing
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.
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 and life; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 79 people.
Reported premium across the insured contracts is $1,240,871, with $56,914 in disclosed broker commissions — about 4.6% 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.
ROCKVILLE BENEFIT ADVISORS 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, AETNA LIFE INSURANCE COMPANY and HARTFORD LIFE AND ACCIDENT. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 79 | Jan 1, 2026 | $1,159,291 | $46,372 |
| AETNA LIFE INSURANCE COMPANY | Dental | 110 | Jan 1, 2026 | $62,882 | $7,976 |
| HARTFORD LIFE AND ACCIDENT | Life | 163 | Jan 1, 2026 | $18,698 | $2,566 |
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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