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Form 5500 · Employee benefit plan · NEW YORK, NY

PAINTING INDUSTRY INSURANCE FUND INDUSTRY

The filing calls this plan PAINTING INDUSTRY INSURANCE FUND.

Public Form 5500 records show how PAINTING INDUSTRY INSURANCE FUND INDUSTRY of NEW YORK, NY, a construction employer, structures its employee benefits. Its broker of record is JOHN H BLASCH. Coverage is written through EMBLEMHEALTH and 5 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-5600369 · plan 501 · plan year 2024, filed Oct 7, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

3,536 other employer plans in New York have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Both, as reported

The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
5,640
Active at start of year
4,988
Active at end of year
4,871
Disclosed commissions
$151,458
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — EMBLEMHEALTH697 of 5,640 participants (12%) on the largest contract
Dentalinsured — THE UNION LABOR LIFE INSURANCE COMPANY90 of 5,640 participants (1.6%)
Visiondeclared, not on Schedule A
Lifeinsured — SYMETRA LIFE INSURANCE COMPANY
Disabilityinsured — SYMETRA LIFE INSURANCE COMPANY

Dental: THE UNION LABOR LIFE INSURANCE COMPANY covers 90 of 5,640 participants (1.6%) on Schedule A.

Also declared: supplemental unemployment, death benefits, 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 8 insured contracts covering health, dental, life and disability.

The filing declares health, dental, life, disability and vision. Vision appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.

Reported premium across the insured contracts is $10,872,987, with $151,458 in disclosed broker commissions — about 1.4% of premium.

The health contract's policy period ended in December, while at least one ancillary line's policy period ended in July. The plan is on a split renewal cycle.

JOHN H BLASCH is the broker of record on 2 of the 8 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
SYMETRA LIFE INSURANCE COMPANYLife, Disability—Jan 1, 2025$465,765$93,153
HIGHMARK BLUE SHIELD OF NORTHEASTERN NEW YORKHealth130Jan 1, 2025$1,298,123$43,832
SYMETRA LIFE INSURANCE COMPANYLife—Aug 1, 2024$37,711$7,542
MVP HEALTHCAREHealth13Jan 1, 2025$176,912$6,931
EMBLEMHEALTHHealth697Jan 1, 2025$6,970,364$0
MVP HEALTHCAREHealth245Jan 1, 2025$1,912,115$0
THE UNION LABOR LIFE INSURANCE COMPANYDental, Life90Nov 1, 2024$11,997$0
EMPOWER ANNUITY INSURANCE COMPANYAnnuity / GIC—Jan 1, 2025$7,779,426$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
PAINTING INDUSTRY INSURANCE FUND INDUSTRY
EIN 13-5600369
MAGNACARE
Claims processing · EIN 11-3410766
$1,102,401
paid directly by the plan
BARNES,IACCARINO & SHEPHERD LLP
Named on Schedule C · EIN 26-3858697
$348,879
paid directly by the plan
EMPIRX HEALTH LLC
Claims processing · EIN 47-1226691
$300,859
paid directly by the plan
BRIDGEWAY BENEFIT TEHCNOLOGIES
Recordkeeping and information management · EIN 52-1796473
$250,521
paid directly by the plan
GALLAGHER BENEFIT SERVICES INC
Named on Schedule C · EIN 36-2481781
$250,000
paid directly by the plan
METROPOLITAN MANAGEMENT INC
Named on Schedule C · EIN 45-3845437
$172,886
paid directly by the plan
GENERAL VISION SERVICES LLC
Claims processing · EIN 11-3580576
$134,645
paid directly by the plan
KOBGO ASSOCIATES INC
Accounting and audit · EIN 13-2751089
$122,977
paid directly by the plan
ADMINSTRATIVE SERVICES ONLY INC
Claims processing · EIN 11-2995970
$95,450
paid directly by the plan
UHY ADVISORS NY INC
Claims processing · EIN 14-1555429
$90,950
paid directly by the plan
DAVIS VISION INC
Claims processing · EIN 11-3051991
$88,260
paid directly by the plan
ULLICO INVESTMENT ADVISORS INC
Named on Schedule C · EIN 52-6435649
$72,567
paid directly by the plan
PROSKAUER ROSE LLP
Named on Schedule C · EIN 13-1840454
$72,500
paid directly by the plan
NOVAK FRANCELLA LLC
Accounting and audit · EIN 61-1436956
$60,546
paid directly by the plan
VISION SCREENING INC
Claims processing · EIN 06-1434201
$47,630
paid directly by the plan
FOUNDRY PARTNERS LLC
Named on Schedule C · EIN 46-1184506
$46,367
paid directly by the plan
SEGAL SELECT INSURANCE SERVICES
Named on Schedule C · EIN 46-0619194
$0
paid directly by the plan
AETNA
Claims processing · EIN 23-2229683
$38,952
paid directly by the plan
AINSWORTH INC
Named on Schedule C · EIN 83-1674559
$37,691
paid directly by the plan
ASSETMARK TRUST COMPANY
Custodian · EIN 30-0774039
$35,568
paid directly by the plan
LOOMIS SAYLES TRUST COMPANY
Named on Schedule C · EIN 20-8080381
$32,402
paid directly by the plan
WASTE CONNECTIONS INC
Named on Schedule C · EIN 68-0400286
$28,294
paid directly by the plan
JOHNSON CONTROLS SECURITY SOLUTIONS
Named on Schedule C · EIN 26-2485989
$21,751
paid directly by the plan
ARISTOTLE CAPITAL MANAGEMENT LLC
Named on Schedule C · EIN 47-1867873
$19,568
paid directly by the plan
FIFTH THIRD WEALTH ADVISORS
Named on Schedule C · EIN 86-1254229
$17,400
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Money the plan held and paid out

Plan assets at year end
$195,214,505
Paid out in benefits
$128,440,432
Paid to insurance carriersSchedule H, line 2e(2)
$11,233,598
Independent accountantEIN 61-1436956
NOVAK FRANCELLA, LLC
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$60,546

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

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