Form 5500 · Employee benefit plan · LOCUST VALLEY, NY
FRIENDS ACADEMY
The filing calls this plan FRIENDS ACADEMY SPENDING PLAN.
FRIENDS ACADEMY of LOCUST VALLEY, NY is a 170-participant other services employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is AUSTIN & CO INC. Coverage is written through ANTHEM BLUE CROSS AND BLUE SHIELD and 3 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 11-1633485 · plan 501 · plan year 2025, filed Jan 12, 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
Also declared: death benefits.
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 5 insured contracts covering health, dental, vision and life; the largest, with ANTHEM BLUE CROSS AND BLUE SHIELD, covers 104 people.
Reported premium across the insured contracts is $2,503,265, with $40,556 in disclosed broker commissions — about 1.6% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
AUSTIN & CO INC is the broker of record on all 5 contracts.
4 carriers appear on the filing, including ANTHEM BLUE CROSS AND BLUE SHIELD, FIRST UNUM LIFE INSURANCE COMPANY, UNITEDHEALTHCARE INSURANCE COMPANY and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA. ANTHEM BLUE CROSS AND BLUE SHIELD writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ANTHEM BLUE CROSS AND BLUE SHIELD | Health | 104 | Jul 1, 2025 | $2,440,644 | $32,827 |
| FIRST UNUM LIFE INSURANCE COMPANY | Life | 37 | Jul 1, 2025 | $15,062 | $2,259 |
| FIRST UNUM LIFE INSURANCE COMPANY | Life | 166 | Jul 1, 2025 | $26,692 | $2,168 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental | 114 | Jul 1, 2025 | $9,260 | $2,028 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Vision | 176 | Jul 1, 2025 | $11,607 | $1,274 |
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.
Other plans filed by this employer
How this plan compares
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