Form 5500 · Employee benefit plan · HAUPPAUGE, NY
CUSTOM COMPUTER SPECIALISTS, LLC
The filing calls this plan CUSTOM COMPUTER SPECIALISTS LLC WRAP PLAN.
CUSTOM COMPUTER SPECIALISTS, LLC of HAUPPAUGE, NY spreads its employee benefits across 5 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is PILOT BENEFITS GROUP LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 11-2497640 · plan 501 · plan year 2024, filed Jul 18, 2025
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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.
Benefits declared on this filing
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 11 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 278 people.
Reported premium across the insured contracts is $4,780,438, with $31,912 in disclosed broker commissions — about 0.7% 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.
PILOT BENEFITS GROUP LLC is the broker of record on 9 of the 11 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK, DELTA DENTAL OF RHODE ISLAND and SHELTERPOINT LIFE INSURANCE COMPANY. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 199 | Jan 1, 2025 | $148,048 | $10,542 |
| LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | Life | 195 | Jan 1, 2025 | $47,558 | $7,134 |
| LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | Disability | 335 | Jan 1, 2025 | $42,845 | $4,131 |
| SHELTERPOINT LIFE INSURANCE COMPANY | Vision | 300 | Jan 1, 2025 | $26,902 | $3,228 |
| AFLAC | Health | 13 | Jan 1, 2025 | $15,144 | $2,253 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 82 | Jan 1, 2025 | $39,968 | $1,999 |
| LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | Life | 335 | Jan 1, 2025 | $10,860 | $1,274 |
| LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | Life | 173 | Jan 1, 2025 | $3,818 | $573 |
| LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | Disability | 49 | Jan 1, 2025 | $2,867 | $403 |
| AFLAC | Health | 5 | Jan 1, 2025 | $3,420 | $375 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 278 | Jan 1, 2025 | $4,439,008 | $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.
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
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