Form 5500 · Employee benefit plan · AUBURN, NY
COMMUNITY COMPUTER SERVICE, INC.
COMMUNITY COMPUTER SERVICE, INC. of AUBURN, NY is a 245-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is BROWN & BROWN INS SVCS INC - NY. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 16-0958181 · plan 501 · plan year 2025, filed Jun 19, 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 4 insured contracts covering health and life; the largest, with EXCELLUS BLUE CROSS BLUE SHIELD, covers 188 people.
The filing declares health, life and dental. Dental appears 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 $3,956,942, with $107,081 in disclosed broker commissions — about 2.7% 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.
BROWN & BROWN INS SVCS INC - NY is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD | Health | 188 | Jan 1, 2026 | $3,911,388 | $101,069 |
| FIRST UNUM LIFE INSURANCE COMPANY | — | 98 | Jan 1, 2026 | $35,187 | $5,278 |
| FIRST UNUM LIFE INSURANCE COMPANY | Life | 236 | Jan 1, 2026 | $7,343 | $734 |
| EMPLOYEE NETWORK, INC. | — | 240 | Jan 1, 2026 | $3,024 | $0 |
Premium and claims on this contract
EXCELLUS BLUE CROSS BLUE SHIELD, contract 00112683. For the contract year on this filing, the carrier reported $3,911,388 in premium earned and $5,287,771 in claims incurred. Dividing one by the other gives 135%.
- EXCELLUS BLUE CROSS BLUE SHIELD, contract 00112683 reported $548,780 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Other plans filed by this employer
How this plan compares
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