Form 5500 · Employee benefit plan · GLOVERSVILLE, NY
FULTON SCHOHARIE COUNTIES CHAPTERS OF NYSARC, INC.
The filing calls this plan LEXINGTON CENTER WELFARE BENEFITS PLAN.
FULTON SCHOHARIE COUNTIES CHAPTERS OF NYSARC, INC. of GLOVERSVILLE, NY is a 1,326-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is NFP CORPORATE SERVICES NY LLC. Coverage is written through CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC. and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 14-6020996 · plan 507 · plan year 2025, filed Jul 28, 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
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
6 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.
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, vision, life and disability; the largest, with CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC., covers 1,522 people.
The filing declares health, vision, life, disability 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 6 contracts here that do not say what they cover.
Reported premium across the insured contracts is $1,677,152, with $47,677 in disclosed broker commissions — about 2.8% 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.
NFP CORPORATE SERVICES NY LLC is the broker of record on 8 of the 11 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 202 | Jan 1, 2026 | $81,443 | $16,289 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 217 | Jan 1, 2026 | $62,760 | $9,414 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 210 | Jan 1, 2026 | $71,581 | $7,158 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 265 | Jan 1, 2026 | $51,552 | $5,155 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 1,184 | Jan 1, 2026 | $278,876 | $4,444 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 148 | Jan 1, 2026 | $33,368 | $4,171 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 308 | Jan 1, 2026 | $6,975 | $1,046 |
| CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC. | Health | 1,522 | Jan 1, 2026 | $819,065 | $0 |
| UNITED CONCIERGE MEDICINE | — | 2,947 | Jan 1, 2026 | $161,795 | $0 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Vision | 732 | Jan 1, 2026 | $77,069 | $0 |
| ESI EMPLOYEE ASSISTANCE GROUP | — | 1,748 | Jan 1, 2026 | $32,668 | $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.
Reported to OSHA
Reported to OSHA for 2025: 201 employees, 20 recordable cases, 268 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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