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Form 5500 · Employee benefit plan · CLARENCE, NY

BROTHERS OF MERCY NURSING HOME CO INC

The filing calls this plan BROTHERS OF MERCY HEALTH CARE PLAN.

BROTHERS OF MERCY NURSING HOME CO INC of CLARENCE, NY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is EMS FINANCIAL SERVICES. Coverage is written through METROPOLITAN LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in March.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-7155198 · plan 505 · plan year 2024, filed Feb 17, 2026

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

188 other employer plans in New York have policy years ending in March. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Funding not settled by the filing

The filing does not report enough to settle how this plan pays for benefits.

All participants at the start of the year
411
Active at start of year
403
Active at end of year
611
Disclosed commissions
$3,350
Typical renewal
April 1

Benefits declared on this filing

Healthinsured — METROPOLITAN LIFE INSURANCE COMPANY98 of 411 participants (24%) on the largest contract
Dentalinsured — THE PAUL REVERE LIFE INSURANCE COMPANY5 of 411 participants (1.2%)
Visioninsured — THE PAUL REVERE LIFE INSURANCE COMPANY5 of 411 participants (1.2%)
Lifeinsured — THE PAUL REVERE LIFE INSURANCE COMPANY5 of 411 participants (1.2%)
Disabilityinsured — THE PAUL REVERE LIFE INSURANCE COMPANY5 of 411 participants (1.2%)

Dental: THE PAUL REVERE LIFE INSURANCE COMPANY covers 5 of 411 participants (1.2%) on Schedule A.

Vision: THE PAUL REVERE LIFE INSURANCE COMPANY covers 5 of 411 participants (1.2%) on Schedule A.

Life: THE PAUL REVERE LIFE INSURANCE COMPANY covers 5 of 411 participants (1.2%) on Schedule A.

Disability: THE PAUL REVERE LIFE INSURANCE COMPANY covers 5 of 411 participants (1.2%) on Schedule A.

Also declared: death benefits.

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.

Reported premium across the insured contracts is $26,971, with $3,350 in disclosed broker commissions — about 12% of premium.

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

EMS FINANCIAL SERVICES is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.

Two carriers split the book: METROPOLITAN LIFE INSURANCE COMPANY and THE PAUL REVERE LIFE INSURANCE COMPANY.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
METROPOLITAN LIFE INSURANCE COMPANYHealth98Apr 1, 2024$11,728$1,516
THE PAUL REVERE LIFE INSURANCE COMPANYDental, Vision, Life, Disability5Apr 1, 2024$8,296$1,000
METROPOLITAN LIFE INSURANCE COMPANYHealth112Apr 1, 2024$6,947$834

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
BROTHERS OF MERCY NURSING HOME CO INC
EIN 23-7155198

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

Other plans filed by this employer

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Renewal calendar

188 other employer plans in New York are April 1 renewals (policy year ends March).

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