Form 5500 · Employee benefit plan · NEW YORK, NY
LAKE MOHEGAN VETERINARY, PC
The filing calls this plan LAKE MOHEGAN VETERINARY, PC EMPLOYEE BENEFIT PLAN.
LAKE MOHEGAN VETERINARY, PC of NEW YORK, NY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HILB GROUP OF NEW YORK LLC. Coverage is written through ANTHEM BLUE CROSS and 3 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-3513948 · plan 501 · plan year 2025, filed Oct 21, 2025
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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: 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.
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 6 insured contracts covering health, dental, vision, life and disability; the largest, with ANTHEM BLUE CROSS, covers 171 people.
Reported premium across the insured contracts is $1,292,734, with $59,169 in disclosed broker commissions — about 4.6% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
HILB GROUP OF NEW YORK LLC is the broker of record on 5 of the 6 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including ANTHEM BLUE CROSS, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, METROPOLITAN LIFE INSURANCE COMPANY and METROPOLITAN GENERAL INSURANCE COMPANY. ANTHEM BLUE CROSS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ANTHEM BLUE CROSS | Health | 171 | Apr 1, 2025 | $1,188,256 | $44,307 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Disability | 179 | Apr 1, 2025 | $90,643 | $12,541 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 54 | Apr 1, 2025 | $6,225 | $1,123 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 42 | Apr 1, 2025 | $3,146 | $480 |
| METROPOLITAN GENERAL INSURANCE COMPANY | — | 14 | Apr 1, 2025 | $2,502 | $410 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 21 | Apr 1, 2025 | $1,962 | $308 |
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: 61 employees, 1 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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