Form 5500 · Employee benefit plan · NEW YORK, NY
NY COUNTY HEALTH SERVICES REVIEW ORGANIZATION, INC.
NY COUNTY HEALTH SERVICES REVIEW ORGANIZATION, 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 GALLAGHER BENEFIT SERVICES. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 8 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-7379635 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 213 | December | $10,612 |
| FIRST UNUM LIFE INSURANCE COMPANY | Life, Disability | 204 | December | $8,217 |
| FIRST UNUM LIFE INSURANCE COMPANY | Life | 85 | December | $4,996 |
| PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | 55 | December | $3,077 |
| FIRST UNUM LIFE INSURANCE COMPANY | — | 85 | December | $2,867 |
| PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | 83 | December | $2,721 |
| PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | 47 | December | $2,369 |
| VISION SERVICE PLAN | Vision | 143 | December | $757 |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | — | 23 | December | $161 |
Questions
Who is NY COUNTY HEALTH SERVICES REVIEW ORGANIZATION, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, NY COUNTY HEALTH SERVICES REVIEW ORGANIZATION, INC.'s broker of record is GALLAGHER BENEFIT SERVICES.
What insurance carrier does NY COUNTY HEALTH SERVICES REVIEW ORGANIZATION, INC. use?
NY COUNTY HEALTH SERVICES REVIEW ORGANIZATION, INC.'s benefit plan is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY, among 9 disclosed carriers.
When does NY COUNTY HEALTH SERVICES REVIEW ORGANIZATION, INC.'s group plan renew?
The most recent Schedule A policy period for NY COUNTY HEALTH SERVICES REVIEW ORGANIZATION, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from NY COUNTY HEALTH SERVICES REVIEW ORGANIZATION, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.