Form 5500 · Employee benefit plan · NEW YORK, NY
MENTAL HEALTH ASSOCIATION OF NEW YORK CITY
The filing calls this plan MENTAL HEALTH ASSOCIATION OF NEW YORK CITY HEALTH & WELFARE PLAN.
MENTAL HEALTH ASSOCIATION OF NEW YORK CITY of NEW YORK, NY insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is PILOT BENEFITS GROUP LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-2637308 · plan 502 · plan year 2025, filed Jan 5, 2026
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315 other employer plans in New York have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 935 people.
Reported premium across the insured contracts is $13,474,504, with $69,694 in disclosed broker commissions — about 0.5% 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.
PILOT BENEFITS GROUP LLC is the broker of record on all 5 contracts.
Two carriers split the book: CIGNA HEALTH AND LIFE INSURANCE COMPANY and FIRST UNUM LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 678 | Jul 1, 2025 | $598,566 | $41,484 |
| FIRST UNUM LIFE INSURANCE COMPANY | Life | 186 | Jul 1, 2025 | $70,979 | $10,647 |
| FIRST UNUM LIFE INSURANCE COMPANY | Life, Disability | 991 | Jul 1, 2025 | $201,889 | $8,407 |
| FIRST UNUM LIFE INSURANCE COMPANY | Disability | 608 | Jul 1, 2025 | $198,224 | $5,997 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Vision | 935 | Jul 1, 2025 | $12,404,846 | $3,159 |
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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Renewal calendar
315 other employer plans in New York are July 1 renewals (policy year ends June).
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