Form 5500 · Employee benefit plan · ROCHESTER, NY
GENERAL CODE ENTERPRISES
The filing calls this plan GENERAL CODE, LLC WELFARE BENEFIT PLAN.
GENERAL CODE ENTERPRISES of ROCHESTER, NY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ASSUREDPARTNERS. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-8015087 · plan 530 · plan year 2024, filed Jun 26, 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.
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 3 insured contracts covering health, dental, vision, life and disability; the largest, with EXCELLUS BLUE CROSS BLUE SHIELD, covers 127 people.
Reported premium across the insured contracts is $1,878,903, with $78,865 in disclosed broker commissions — about 4.2% 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.
ASSUREDPARTNERS is the broker of record on all 3 contracts.
3 carriers appear on the filing, including EXCELLUS BLUE CROSS BLUE SHIELD, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK. EXCELLUS BLUE CROSS BLUE SHIELD writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD | Health | 127 | Jan 1, 2025 | $1,649,640 | $63,687 |
| LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | Life, Disability | 181 | Jan 1, 2025 | $98,474 | $10,166 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision | 129 | Jan 1, 2025 | $130,789 | $5,012 |
Premium and claims on this contract
EXCELLUS BLUE CROSS BLUE SHIELD, contract 100304. For the contract year on this filing, the carrier reported $1,649,640 in premium earned and $1,298,968 in claims incurred. Dividing one by the other gives 79%.
- EXCELLUS BLUE CROSS BLUE SHIELD, contract 100304 reported $278,737 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
The plan administrator is from line 3a of the main form. We publish company names only.
How this plan compares
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