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Form 5500 · Employee benefit plan · NEW YORK, NE

CAPITAL INTEGRATION SYSTEMS

The filing calls this plan CAPITAL INTEGRATION SYSTEMS HEALTH AND WELFARE PLAN.

CAPITAL INTEGRATION SYSTEMS of NEW YORK, NE insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MARSH AND MCLENNAN AGENCY, LLC. Coverage is written through ANTHEM BLUE CROSS and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 27-1330236 · plan 501 · plan year 2025, filed Jul 15, 2026

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

586 other employer plans in Nebraska have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

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
255
Active at start of year
255
Active at end of year
262
Disclosed commissions
$187,535
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — ANTHEM BLUE CROSS488 of 255 participants
Dentalinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA255 of 255 participants (100%)
Visioninsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA255 of 255 participants (100%)
Lifeinsured — FIRST UNUM LIFE INSURANCE COMPANY262 of 255 participants
Disabilityinsured — FIRST UNUM LIFE INSURANCE COMPANY262 of 255 participants

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.

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 4 insured contracts covering health, dental, vision, life and disability; the largest, with ANTHEM BLUE CROSS, covers 488 people.

Reported premium across the insured contracts is $5,052,455, with $187,535 in disclosed broker commissions — about 3.7% 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.

MARSH AND MCLENNAN AGENCY, LLC is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including ANTHEM BLUE CROSS, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, FIRST UNUM LIFE INSURANCE COMPANY and PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY. ANTHEM BLUE CROSS writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
ANTHEM BLUE CROSSHealth488Jan 1, 2026$4,473,496$160,743
FIRST UNUM LIFE INSURANCE COMPANYLife, Disability262Jan 1, 2026$234,313$13,516
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADental, Vision255Jan 1, 2026$312,323$8,421
PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY—94Jan 1, 2026$32,323$4,855

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
CAPITAL INTEGRATION SYSTEMS
EIN 27-1330236

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

Other plans filed by this employer

How this plan compares

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Renewal calendar

586 other employer plans in Nebraska are January 1 renewals (policy year ends December).

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