Form 5500 · Employee benefit plan · CLIFTON PARK, NY
MCDONNELL AND MCMAHON PEDIATRIC DENTISTRY, PLLC
The filing calls this plan MCDONNELL AND MCMAHON WELFARE BENEFITS PLAN.
MCDONNELL AND MCMAHON PEDIATRIC DENTISTRY, PLLC of CLIFTON PARK, NY insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is DELTA DENTAL OF NEW YORK, INC.. Coverage is written through MVP HEALTHCARE and 4 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-2651798 · plan 502 · plan year 2025, filed Jan 2, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
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, 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 5 insured contracts covering health, dental, vision, life and disability; the largest, with MVP HEALTHCARE, covers 120 people.
Reported premium across the insured contracts is $739,777, with $104,110 in disclosed broker commissions — about 14% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
DELTA DENTAL OF NEW YORK, INC. is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including MVP HEALTHCARE, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC. and SOLSTICE HEALTH INSURANCE COMPANY. MVP HEALTHCARE writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC. | Dental | 188 | Jul 1, 2025 | $73,363 | $68,228 |
| MVP HEALTHCARE | Health | 120 | Jul 1, 2025 | $580,090 | $28,793 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 182 | Jul 1, 2025 | $74,444 | $5,378 |
| ALLYHEALTH LLC | — | 69 | Jul 1, 2025 | $5,422 | $1,065 |
| SOLSTICE HEALTH INSURANCE COMPANY | Vision | 130 | Jul 1, 2025 | $6,458 | $646 |
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
Subscribers see how this compares with similar plans in New York. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
More employer plans in New York — largest plans, brokers, carriers and renewal months.