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Form 5500 · Employee benefit plan · WHITE PLAINS, NY

COMMUNITY HOUSING INNOVATIONS

The filing calls this plan COMMUNITY HOUSING INNOVATIONS HEALTH AND WELFARE BENEFIT PLAN.

Public Form 5500 records show how COMMUNITY HOUSING INNOVATIONS of WHITE PLAINS, NY, a other services employer, structures its employee benefits. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 7 other carriers. The plan's most recent policy period ended in December.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-3627750 · plan 501 · plan year 2025, filed Jul 13, 2026

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3,536 other employer plans in New York 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
572
Active at start of year
572
Active at end of year
536
Disclosed commissions
$76,396
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY260 of 572 participants (45%)
Dentalnot declared on this filing
Visioninsured — VISION SERVICE PLAN194 of 572 participants (34%)
Lifeinsured — MUTUAL OF OMAHA INSURANCE COMPANY536 of 572 participants (94%) on the largest contract
Disabilityinsured — MUTUAL OF OMAHA INSURANCE COMPANY536 of 572 participants (94%)

Also declared: death benefits, 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.

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 8 insured contracts covering health, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 260 people.

Reported premium across the insured contracts is $3,324,903, with $76,396 in disclosed broker commissions — about 2.3% 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.

USI INSURANCE SERVICES LLC is the broker of record on 1 of the 8 contracts; the rest name a different broker or none.

8 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, MUTUAL OF OMAHA INSURANCE COMPANY, COMPANION LIFE INSURANCE COMPANY and AFLAC. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth260Jan 1, 2026$3,018,538$47,546
AFLAC—47Jan 1, 2026$64,572$12,735
MUTUAL OF OMAHA INSURANCE COMPANYLife, Disability536Jan 1, 2026$124,628$8,722
COMPANION LIFE INSURANCE COMPANYLife536Jan 1, 2026$65,479$7,339
THE PAUL REVERE LIFE INSURANCE COMPANY—0Jan 1, 2026$887$51
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—1Jan 1, 2026$366$3
VISION SERVICE PLANVision194Jan 1, 2026$37,094$0
TOTAL CARE EAP—564Jan 1, 2026$13,339$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

Reported to OSHA

Reported to OSHA for 2025: 648 employees, 12 recordable cases, 225 days away from work.

EmployeesThe company's own average for the year
648
Hours worked
1,108,917
Recordable cases
12
Days away from work
225
Establishments filed under this EIN
38

Source: OSHA Injury Tracking Application establishment data, 2025.

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