Form 5500 · Employee benefit plan · ITHACA, NY
ONGWEOWEH CORPORATION
The filing calls this plan ONGWEOWEH CORPORATION HEALTH & WELFARE PLAN.
ONGWEOWEH CORPORATION of ITHACA, NY spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is BROWN & BROWN INS SVCS INC - EMPIRE. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 16-1374508 · plan 501 · plan year 2025, filed Jul 1, 2026
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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
3 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
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 6 insured contracts covering health, dental, vision and life; the largest, with EXCELLUS BLUE CROSS BLUE SHIELD, covers 97 people.
The filing declares health, dental, vision, life and disability. Disability appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 3 contracts here that do not say what they cover.
Reported premium across the insured contracts is $1,438,081, with $66,631 in disclosed broker commissions — about 4.6% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
BROWN & BROWN INS SVCS INC - EMPIRE is the broker of record on 1 of the 6 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD | Health | 97 | Jan 1, 2026 | $1,315,059 | $53,655 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life | 149 | Jan 1, 2026 | $112,676 | $12,033 |
| AFLAC | Dental, Life | 6 | Jan 1, 2026 | $6,390 | $577 |
| THE PAUL REVERE LIFE INSURANCE COMPANY | — | 5 | Jan 1, 2026 | $2,730 | $246 |
| THE PAUL REVERE LIFE INSURANCE COMPANY | — | 1 | Jan 1, 2026 | $859 | $80 |
| AFLAC | — | 1 | Jan 1, 2026 | $367 | $40 |
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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