Form 5500 · Employee benefit plan · BROCKPORT, NY
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Public Form 5500 records show how OAK ORCHARD COMMUNITY HEALTH CENTER, INC. (BROCKPORT, NY) structures its employee benefits. Its broker of record is TITAN INS DBA US EMPL BENEFITS SVC. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 11 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 16-1020913 · plan 505 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD | Health | 138 | December | $67,967 |
| EXCELLUS BLUE CROSS BLUE SHIELD | Dental | 147 | December | $7,203 |
| MUTUAL OF OMAHA INSURANCE COMPANY | Disability | 229 | December | $3,068 |
| MUTUAL OF OMAHA INSURANCE COMPANY | — | 42 | December | $2,973 |
| COMPANION LIFE INSURANCE COMPANY | Life | 75 | December | $1,871 |
| EXCELLUS BLUE CROSS BLUE SHIELD | Vision | 110 | December | $1,302 |
| COMPANION LIFE INSURANCE COMPANY | Life | 238 | December | $970 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 46 | December | $337 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 15 | December | $183 |
| MUTUAL OF OMAHA INSURANCE COMPANY | — | 75 | December | $139 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 19 | December | $134 |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life | 238 | December | $121 |
Questions
Who is OAK ORCHARD COMMUNITY HEALTH CENTER, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, OAK ORCHARD COMMUNITY HEALTH CENTER, INC.'s broker of record is TITAN INS DBA US EMPL BENEFITS SVC.
What insurance carrier does OAK ORCHARD COMMUNITY HEALTH CENTER, INC. use?
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.'s benefit plan is written through EXCELLUS BLUE CROSS BLUE SHIELD, among 12 disclosed carriers.
When does OAK ORCHARD COMMUNITY HEALTH CENTER, INC.'s group plan renew?
The most recent Schedule A policy period for OAK ORCHARD COMMUNITY HEALTH CENTER, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from OAK ORCHARD COMMUNITY HEALTH CENTER, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.