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Form 5500 · Employee benefit plan · AMITYVILLE, NY

BRUNSWICK HOSPITAL CENTER, INC.

The filing calls this plan BRUNSWICK HOSPITAL HEALTH AND WELFARE PLAN.

BRUNSWICK HOSPITAL CENTER, INC. of AMITYVILLE, NY is a 198-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is INTEGRATED BROKERAGE SERVICES, INC.. Coverage is written through EMBLEMHEALTH and 5 other carriers. The plan's most recent policy period ended in February.

Benefits broker of record
Insurance carrier
Policy year ends
Februaryas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 11-0589550 · plan 501 · plan year 2024, filed Oct 14, 2025

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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
198
Active at start of year
198
Active at end of year
108
Disclosed commissions
$158,410
Typical renewal
March 1

Benefits declared on this filing

Healthinsured — EMBLEMHEALTH195 of 198 participants (98%) on the largest contract
Dentalinsured — AETNA LIFE INSURANCE COMPANY196 of 198 participants (99%)
Visioninsured — HM LIFE INSURANCE COMPANY OF NEW YORK108 of 198 participants (55%)
Lifeinsured — PRINCIPAL LIFE INSURANCE COMPANY108 of 198 participants (55%)
Disabilitynot declared on this filing

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 6 insured contracts covering health, dental, vision and life; the largest, with EMBLEMHEALTH, covers 195 people.

Reported premium across the insured contracts is $3,283,675, with $158,410 in disclosed broker commissions — about 4.8% of premium.

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

INTEGRATED BROKERAGE SERVICES, INC. is the broker of record on 4 of the 6 contracts; the rest name a different broker or none.

6 carriers appear on the filing, including EMBLEMHEALTH, UNITEDHEALTHCARE INSURANCE COMPANY, AFLAC and AETNA LIFE INSURANCE COMPANY. EMBLEMHEALTH writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
EMBLEMHEALTHHealth195Mar 1, 2024$2,616,310$100,627
AFLAC—133Mar 1, 2024$159,614$36,611
UNITEDHEALTHCARE INSURANCE COMPANYHealth28Mar 1, 2024$427,231$17,089
AETNA LIFE INSURANCE COMPANYDental196Mar 1, 2024$80,520$4,083
HM LIFE INSURANCE COMPANY OF NEW YORKVision108Mar 1, 2024—$0
PRINCIPAL LIFE INSURANCE COMPANYHealth, Life108Apr 1, 2024—$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
BRUNSWICK HOSPITAL CENTER, INC.
EIN 11-0589550

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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