Form 5500 · Employee benefit plan · NEW YORK, NY
LITHIC, INC.
The filing calls this plan LITHIC, INC. HEALTH AND WELFARE PLAN.
LITHIC, INC. 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 NFP CA INSURANCE SERVICES INC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-1426777 · plan 501 · plan year 2025, filed Jun 24, 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
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 UNITEDHEALTHCARE INSURANCE COMPANY, covers 116 people.
Reported premium across the insured contracts is $1,778,652, with $97,722 in disclosed broker commissions — about 5.5% 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 CA INSURANCE SERVICES INC is the broker of record on all 3 contracts.
3 carriers appear on the filing, including UNITEDHEALTHCARE INSURANCE COMPANY, NATIONWIDE LIFE INS CO (BEAM) and PRINCIPAL LIFE INSURANCE COMPANY. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 116 | Jan 1, 2026 | $1,616,617 | $83,229 |
| PRINCIPAL LIFE INSURANCE COMPANY | Life, Disability | 97 | Jan 1, 2026 | $51,241 | $7,380 |
| NATIONWIDE LIFE INS CO (BEAM) | Dental, Vision | 276 | Jan 1, 2026 | $110,794 | $7,113 |
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.
Other plans filed by this employer
How this plan compares
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