Form 5500 · Employee benefit plan · BATAVIA, NY
CHAPIN INTERNATIONAL, INC
The filing calls this plan CHAPIN INTERNATIONAL, INC. HEALTH INSURANCE PLAN.
CHAPIN INTERNATIONAL, INC of BATAVIA, NY is a 248-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is LAWLEY LLC. Coverage is written through HIGHMARK NEW YORK and 1 other carrier. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 16-1560376 · plan 501 · plan year 2025, filed Feb 11, 2026
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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.
Benefits declared on this filing
2 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
Also declared: 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 5 insured contracts covering health, life and disability; the largest, with HIGHMARK NEW YORK, covers 383 people.
The filing declares health, life, disability, dental and vision. Dental and vision appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 2 contracts here that do not say what they cover.
Reported premium across the insured contracts is $3,237,663, with $114,301 in disclosed broker commissions — about 3.5% of premium.
The most recent policy period ended in August, and the plan year ends August 31. Group contracts typically renew on that annual cycle.
LAWLEY LLC is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HIGHMARK NEW YORK | Health | 383 | Sep 1, 2025 | $3,080,693 | $99,155 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 375 | Sep 1, 2025 | $129,035 | $10,157 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 371 | Sep 1, 2025 | $26,479 | $4,722 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 18 | Sep 1, 2025 | $956 | $192 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 0 | Sep 1, 2025 | $500 | $75 |
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.
Reported to OSHA
Reported to OSHA for 2025: 229 employees, 13 recordable cases, 87 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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