Form 5500 · Employee benefit plan · NEW YORK, NY
PLAN INTERNATIONAL, INC.
The filing calls this plan PLAN INTERNATIONAL INC. WELFARE PLAN.
PLAN INTERNATIONAL, INC. of NEW YORK, NY insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Coverage is written through AETNA INTERNATIONAL and 2 other carriers. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 51-0169168 · plan 503 · plan year 2025, filed Feb 5, 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
Also declared: 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 3 insured contracts covering health, dental, vision, life and disability; the largest, with AETNA INTERNATIONAL, covers 379 people.
Reported premium is $1,218,453; the filing discloses no broker commission on these contracts.
The health contract's policy period ended in July, while at least one ancillary line's policy period ended in September. The plan is on a split renewal cycle.
No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.
3 carriers appear on the filing, including AETNA INTERNATIONAL, AMERICAN FAMILY LIFE ASSURANCE CO. OF NY and AETNA LIFE INSURANCE COMPANY. AETNA INTERNATIONAL writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AETNA INTERNATIONAL | Health, Dental, Vision | 379 | Aug 1, 2025 | $791,134 | $0 |
| AMERICAN FAMILY LIFE ASSURANCE CO. OF NY | Life, Disability | 131 | Oct 1, 2024 | $400,649 | $0 |
| AETNA LIFE INSURANCE COMPANY | Health, Dental, Vision | 11 | Aug 1, 2025 | $26,670 | $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.
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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