Form 5500 · Employee benefit plan · EAST SYRACUSE, NY
LOTTE BIOLOGICS USA, LLC
LOTTE BIOLOGICS USA, LLC of EAST SYRACUSE, NY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MERCER HEALTH AND BENEFITS ADMIN. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 8 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 88-3288202 · plan 503 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD | Health | 405 | December | $134,518 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, Disability | 466 | December | $20,942 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 895 | December | $8,076 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 190 | December | $2,079 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 328 | December | $1,938 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 94 | December | $1,365 |
| METROPOLITAN GENERAL INSURANCE COMPANY | — | 84 | December | $0 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK | Vision | 335 | December | $0 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK | Vision | 345 | December | $0 |
Questions
Who is LOTTE BIOLOGICS USA, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, LOTTE BIOLOGICS USA, LLC's broker of record is MERCER HEALTH AND BENEFITS ADMIN.
What insurance carrier does LOTTE BIOLOGICS USA, LLC use?
LOTTE BIOLOGICS USA, LLC's benefit plan is written through EXCELLUS BLUE CROSS BLUE SHIELD, among 9 disclosed carriers.
When does LOTTE BIOLOGICS USA, LLC's group plan renew?
The most recent Schedule A policy period for LOTTE BIOLOGICS USA, LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from LOTTE BIOLOGICS USA, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.