Form 5500 · Employee benefit plan · SKANEATELES, NY
MIRBEAU INN & SPA
MIRBEAU INN & SPA's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is GOETZMANN & ASSOCIATES LLC. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 16-1572392 · plan 502 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD | Health | 151 | December | $67,855 |
| GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life | 173 | January | $6,264 |
Questions
Who is MIRBEAU INN & SPA's benefits broker?
Per its most recent Form 5500 Schedule A, MIRBEAU INN & SPA's broker of record is GOETZMANN & ASSOCIATES LLC.
What insurance carrier does MIRBEAU INN & SPA use?
MIRBEAU INN & SPA's benefit plan is written through EXCELLUS BLUE CROSS BLUE SHIELD, among 2 disclosed carriers.
When does MIRBEAU INN & SPA's group plan renew?
The most recent Schedule A policy period for MIRBEAU INN & SPA ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from MIRBEAU INN & SPA's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.