Form 5500 · Employee benefit plan · ISELIN, NJ
EXTENSIS GROUP, LLC
The filing calls this plan EXTENSIS HEALTH & WELFARE BENEFIT PLAN.
EXTENSIS GROUP, LLC of ISELIN, NJ files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is NIP GROUP. Coverage is written through AETNA LIFE INSURANCE COMPANY and 9 other carriers. The plan's most recent policy period ended in October.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-1064991 · plan 502 · plan year 2025, filed Aug 13, 2026
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44 other employer plans in New Jersey have policy years ending in October. 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: prepaid legal, 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 48 insured contracts covering health, dental, vision, life and disability; the largest, with AETNA LIFE INSURANCE COMPANY, covers 32,618 people.
Reported premium across the insured contracts is $294,456,756, with $8,240,036 in disclosed broker commissions — about 2.8% of premium.
The most recent policy period ended in October, and the plan year ends October 31. Group contracts typically renew on that annual cycle.
NIP GROUP is the broker of record on 35 of the 48 contracts; the rest name a different broker or none.
10 carriers appear on the filing, including AETNA LIFE INSURANCE COMPANY, ANTHEM BLUE CROSS AND BLUE SHIELD, METROPOLITAN LIFE INSURANCE COMPANY and STANDARD INSURANCE COMPANY. AETNA LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY | Health, Dental, Vision | 32,618 | Nov 1, 2025 | $226,409,663 | $4,099,090 |
| ANTHEM BLUE CROSS AND BLUE SHIELD | Health | 5,030 | Nov 1, 2025 | $38,050,629 | $1,115,589 |
| STANDARD INSURANCE COMPANY | Life | 49,050 | Nov 1, 2025 | $6,950,330 | $1,106,511 |
| STANDARD INSURANCE COMPANY | Disability | 9,423 | Nov 1, 2025 | $1,325,092 | $217,297 |
| STANDARD LIFE INS CO OF NY | — | 6,440 | Nov 1, 2025 | $1,910,695 | $217,038 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental, Vision, Disability | 16,770 | Nov 1, 2025 | $8,120,726 | $211,959 |
| STANDARD INSURANCE COMPANY | Disability | 682 | Nov 1, 2025 | $1,230,645 | $153,086 |
| STANDARD INSURANCE COMPANY | Disability | 568 | Nov 1, 2025 | $1,004,816 | $118,665 |
| STANDARD LIFE INS CO OF NY | — | 2,929 | Nov 1, 2025 | $948,063 | $115,083 |
| STANDARD LIFE INS CO OF NY | Disability | 4,941 | Nov 1, 2025 | $565,847 | $91,729 |
| STANDARD LIFE INS CO OF NY | Disability | 585 | Nov 1, 2025 | $789,986 | $90,157 |
| STANDARD LIFE INS CO OF NY | Disability | 3,095 | Nov 1, 2025 | $507,743 | $81,762 |
| STANDARD LIFE INS CO OF NY | Disability | 301 | Nov 1, 2025 | $563,309 | $70,701 |
| STANDARD LIFE INS CO OF NY | — | 2,782 | Nov 1, 2025 | $651,664 | $64,333 |
| METLIFE LEGAL PLANS | — | 2,804 | Nov 1, 2025 | $604,227 | $56,501 |
| STANDARD LIFE INS CO OF NY | Disability | 675 | Nov 1, 2025 | $423,683 | $46,977 |
| STANDARD LIFE INS CO OF NY | — | 1,332 | Nov 1, 2025 | $373,594 | $45,386 |
| STANDARD INSURANCE COMPANY | Disability | 1,190 | Nov 1, 2025 | $381,684 | $42,392 |
| STANDARD LIFE INS CO OF NY | — | 958 | Nov 1, 2025 | $298,707 | $37,086 |
| STANDARD INSURANCE COMPANY | Disability | 1,737 | Nov 1, 2025 | $204,663 | $30,134 |
| STANDARD LIFE INS CO OF NY | Disability | 2,292 | Nov 1, 2025 | $175,909 | $27,358 |
| STANDARD LIFE INS CO OF NY | Disability | 745 | Nov 1, 2025 | $135,638 | $23,593 |
| STANDARD INSURANCE COMPANY | Disability | 995 | Nov 1, 2025 | $244,374 | $22,996 |
| STANDARD LIFE INS CO OF NY | Disability | 190 | Nov 1, 2025 | $184,998 | $22,665 |
| STANDARD INSURANCE COMPANY | Disability | 1,440 | Nov 1, 2025 | $131,949 | $20,731 |
| STANDARD LIFE INS CO OF NY | — | 6,440 | Nov 1, 2025 | $132,523 | $16,331 |
| STANDARD LIFE INS CO OF NY | Disability | 405 | Nov 1, 2025 | $111,238 | $15,174 |
| STANDARD LIFE INS CO OF NY | Disability | 5,258 | Nov 1, 2025 | $850,094 | $14,627 |
| STANDARD INSURANCE COMPANY | Disability | 310 | Nov 1, 2025 | $73,153 | $12,512 |
| STANDARD INSURANCE COMPANY | Disability | 627 | Nov 1, 2025 | $72,133 | $11,969 |
| STANDARD INSURANCE COMPANY | Disability | 692 | Nov 1, 2025 | $657,247 | $10,881 |
| STANDARD LIFE INS CO OF NY | — | 2,929 | Nov 1, 2025 | $70,851 | $9,705 |
| STANDARD LIFE INS CO OF NY | — | 2,782 | Nov 1, 2025 | $54,504 | $6,123 |
| STANDARD LIFE INS CO OF NY | — | 1,332 | Nov 1, 2025 | $32,032 | $4,350 |
| STANDARD LIFE INS CO OF NY | — | 958 | Nov 1, 2025 | $22,141 | $3,066 |
| STANDARD LIFE INS CO OF NY | Disability | 7 | Nov 1, 2025 | $17,595 | $2,669 |
| STANDARD LIFE INS CO OF NY | — | 55 | Nov 1, 2025 | $18,144 | $2,032 |
| STANDARD LIFE INS CO OF NY | Disability | 34 | Nov 1, 2025 | $14,877 | $1,736 |
| STANDARD INSURANCE COMPANY | Disability | 59 | Nov 1, 2025 | $3,745 | $737 |
| STANDARD LIFE INS CO OF NY | — | 11 | Nov 1, 2025 | $2,503 | $314 |
| STANDARD LIFE INS CO OF NY | — | 55 | Nov 1, 2025 | $1,177 | $149 |
| SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | Health, Dental | 47 | Nov 1, 2025 | $5,245 | $132 |
| SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION | Health, Dental | 37 | Nov 1, 2025 | $2,651 | $57 |
| SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | Health, Dental | 23 | Nov 1, 2025 | $2,123 | $53 |
| STANDARD LIFE INS CO OF NY | — | 11 | Nov 1, 2025 | $215 | $29 |
| STANDARD INSURANCE COMPANY | Disability | 1 | Nov 1, 2025 | $1,200 | $24 |
| AETNA HEALTH, INC. | Health | 29 | Nov 1, 2025 | $102,665 | $0 |
| STANDARD LIFE INS CO OF NY | Disability | 190 | Nov 1, 2025 | $20,066 | $-1,453 |
Premium and claims on these contracts
STANDARD INSURANCE COMPANY, contract 649356. For the contract year on this filing, the carrier reported $6,950,330 in premium earned and $3,525,704 in claims incurred. Dividing one by the other gives 51%.
STANDARD INSURANCE COMPANY, contract 649356. For the contract year on this filing, the carrier reported $1,325,092 in premium earned and $-130,461 in claims incurred. Dividing one by the other gives -10%.
STANDARD LIFE INS CO OF NY, contract 758375. For the contract year on this filing, the carrier reported $1,910,695 in premium earned and $1,355,366 in claims incurred. Dividing one by the other gives 71%.
STANDARD INSURANCE COMPANY, contract 760730. For the contract year on this filing, the carrier reported $1,230,645 in premium earned and $133,579 in claims incurred. Dividing one by the other gives 11%.
STANDARD INSURANCE COMPANY, contract 759054. For the contract year on this filing, the carrier reported $1,004,816 in premium earned and $167,742 in claims incurred. Dividing one by the other gives 17%.
STANDARD LIFE INS CO OF NY, contract 649360. For the contract year on this filing, the carrier reported $936,698 in premium earned and $1,132,468 in claims incurred. Dividing one by the other gives 121%.
STANDARD LIFE INS CO OF NY, contract 758375. For the contract year on this filing, the carrier reported $565,847 in premium earned and $-241,592 in claims incurred. Dividing one by the other gives -43%.
STANDARD LIFE INS CO OF NY, contract 761198. For the contract year on this filing, the carrier reported $789,986 in premium earned and $90,291 in claims incurred. Dividing one by the other gives 11%.
STANDARD LIFE INS CO OF NY, contract 649361. For the contract year on this filing, the carrier reported $507,743 in premium earned and $12,281 in claims incurred. Dividing one by the other gives 2%.
STANDARD LIFE INS CO OF NY, contract 649752. For the contract year on this filing, the carrier reported $563,309 in premium earned and $60,000 in claims incurred. Dividing one by the other gives 11%.
STANDARD LIFE INS CO OF NY, contract 759053. For the contract year on this filing, the carrier reported $651,664 in premium earned and $644,842 in claims incurred. Dividing one by the other gives 99%.
STANDARD LIFE INS CO OF NY, contract 758375. For the contract year on this filing, the carrier reported $423,683 in premium earned and $412,203 in claims incurred. Dividing one by the other gives 97%.
STANDARD LIFE INS CO OF NY, contract 649361. For the contract year on this filing, the carrier reported $372,475 in premium earned and $200,752 in claims incurred. Dividing one by the other gives 54%.
STANDARD LIFE INS CO OF NY, contract 649410. For the contract year on this filing, the carrier reported $293,318 in premium earned and $135,571 in claims incurred. Dividing one by the other gives 46%.
STANDARD INSURANCE COMPANY, contract 759054. For the contract year on this filing, the carrier reported $204,663 in premium earned and $294,501 in claims incurred. Dividing one by the other gives 144%.
STANDARD LIFE INS CO OF NY, contract 759053. For the contract year on this filing, the carrier reported $175,909 in premium earned and $341,128 in claims incurred. Dividing one by the other gives 194%.
STANDARD LIFE INS CO OF NY, contract 649410. For the contract year on this filing, the carrier reported $133,628 in premium earned and $-11,309 in claims incurred. Dividing one by the other gives -8%.
STANDARD INSURANCE COMPANY, contract 649357. For the contract year on this filing, the carrier reported $244,374 in premium earned and $41,983 in claims incurred. Dividing one by the other gives 17%.
STANDARD LIFE INS CO OF NY, contract 649410. For the contract year on this filing, the carrier reported $184,998 in premium earned and $67,817 in claims incurred. Dividing one by the other gives 37%.
STANDARD INSURANCE COMPANY, contract 649357. For the contract year on this filing, the carrier reported $131,949 in premium earned and $91,658 in claims incurred. Dividing one by the other gives 69%.
STANDARD LIFE INS CO OF NY, contract 758375. For the contract year on this filing, the carrier reported $132,523 in premium earned and $122,466 in claims incurred. Dividing one by the other gives 92%.
STANDARD LIFE INS CO OF NY, contract 649360. For the contract year on this filing, the carrier reported $850,094 in premium earned and $-444,401 in claims incurred. Dividing one by the other gives -52%.
STANDARD INSURANCE COMPANY, contract 649359. For the contract year on this filing, the carrier reported $73,153 in premium earned and $5,045 in claims incurred. Dividing one by the other gives 7%.
STANDARD INSURANCE COMPANY, contract 649358. For the contract year on this filing, the carrier reported $72,133 in premium earned and $69,855 in claims incurred. Dividing one by the other gives 97%.
STANDARD INSURANCE COMPANY, contract 649358. For the contract year on this filing, the carrier reported $657,247 in premium earned and $32,731 in claims incurred. Dividing one by the other gives 5%.
STANDARD LIFE INS CO OF NY, contract 649360. For the contract year on this filing, the carrier reported $69,825 in premium earned and $93,536 in claims incurred. Dividing one by the other gives 134%.
STANDARD LIFE INS CO OF NY, contract 759053. For the contract year on this filing, the carrier reported $54,504 in premium earned and $89,684 in claims incurred. Dividing one by the other gives 165%.
STANDARD LIFE INS CO OF NY, contract 649361. For the contract year on this filing, the carrier reported $31,715 in premium earned and $21,777 in claims incurred. Dividing one by the other gives 69%.
STANDARD LIFE INS CO OF NY, contract 649410. For the contract year on this filing, the carrier reported $21,611 in premium earned and $17,920 in claims incurred. Dividing one by the other gives 83%.
STANDARD LIFE INS CO OF NY, contract 649752. For the contract year on this filing, the carrier reported $17,595 in premium earned and $168 in claims incurred. Dividing one by the other gives 1%.
STANDARD LIFE INS CO OF NY, contract 761198. For the contract year on this filing, the carrier reported $18,144 in premium earned and $14,786 in claims incurred. Dividing one by the other gives 81%.
STANDARD INSURANCE COMPANY, contract 760730. For the contract year on this filing, the carrier reported $3,146 in premium earned and $-2,987 in claims incurred. Dividing one by the other gives -95%.
STANDARD LIFE INS CO OF NY, contract 649752. For the contract year on this filing, the carrier reported $2,503 in premium earned and $129 in claims incurred. Dividing one by the other gives 5%.
STANDARD LIFE INS CO OF NY, contract 761198. For the contract year on this filing, the carrier reported $1,177 in premium earned and $26 in claims incurred. Dividing one by the other gives 2%.
STANDARD LIFE INS CO OF NY, contract 649752. For the contract year on this filing, the carrier reported $209 in premium earned and $-11 in claims incurred. Dividing one by the other gives -5%.
- STANDARD INSURANCE COMPANY, contract 649356 reported $3,424,631 in retention.
- STANDARD INSURANCE COMPANY, contract 649356 reported $1,455,553 in retention.
- STANDARD LIFE INS CO OF NY, contract 758375 reported $727,324 in retention.
- STANDARD INSURANCE COMPANY, contract 760730 reported $1,097,066 in retention.
- STANDARD INSURANCE COMPANY, contract 759054 reported $837,074 in retention.
- STANDARD LIFE INS CO OF NY, contract 649360 reported $476,967 in retention.
- STANDARD LIFE INS CO OF NY, contract 758375 reported $807,438 in retention.
- STANDARD LIFE INS CO OF NY, contract 761198 reported $699,694 in retention.
- STANDARD LIFE INS CO OF NY, contract 649361 reported $495,462 in retention.
- STANDARD LIFE INS CO OF NY, contract 649752 reported $503,308 in retention.
- STANDARD LIFE INS CO OF NY, contract 759053 reported $279,914 in retention.
- STANDARD LIFE INS CO OF NY, contract 758375 reported $194,533 in retention.
- STANDARD LIFE INS CO OF NY, contract 649361 reported $171,722 in retention.
- STANDARD LIFE INS CO OF NY, contract 649410 reported $157,747 in retention.
- STANDARD INSURANCE COMPANY, contract 759054 reported $84,958 in retention.
- STANDARD LIFE INS CO OF NY, contract 759053 reported $77,419 in retention.
- STANDARD LIFE INS CO OF NY, contract 649410 reported $144,938 in retention.
- STANDARD INSURANCE COMPANY, contract 649357 reported $202,392 in retention.
- STANDARD LIFE INS CO OF NY, contract 649410 reported $117,180 in retention.
- STANDARD INSURANCE COMPANY, contract 649357 reported $62,255 in retention.
- STANDARD LIFE INS CO OF NY, contract 758375 reported $54,038 in retention.
- STANDARD LIFE INS CO OF NY, contract 649360 reported $1,294,496 in retention.
- STANDARD INSURANCE COMPANY, contract 649359 reported $68,108 in retention.
- STANDARD INSURANCE COMPANY, contract 649358 reported $36,992 in retention.
- STANDARD INSURANCE COMPANY, contract 649358 reported $624,514 in retention.
- STANDARD LIFE INS CO OF NY, contract 649360 reported $36,613 in retention.
- STANDARD LIFE INS CO OF NY, contract 759053 reported $29,404 in retention.
- STANDARD LIFE INS CO OF NY, contract 649361 reported $14,284 in retention.
- STANDARD LIFE INS CO OF NY, contract 649410 reported $10,441 in retention.
- STANDARD LIFE INS CO OF NY, contract 649752 reported $17,429 in retention.
- STANDARD LIFE INS CO OF NY, contract 761198 reported $9,155 in retention.
- STANDARD INSURANCE COMPANY, contract 760730 reported $6,132 in retention.
- STANDARD LIFE INS CO OF NY, contract 649752 reported $2,374 in retention.
- STANDARD LIFE INS CO OF NY, contract 761198 reported $1,153 in retention.
- STANDARD LIFE INS CO OF NY, contract 649752 reported $220 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
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