Form 5500 · Employee benefit plan · SCOTTSVILLE, NY
POWER & CONSTRUCTION GROUP, INC.
The filing calls this plan POWER & CONSTRUCTION GROUP, INC. DENTAL BENEFIT PLAN.
POWER & CONSTRUCTION GROUP, INC. of SCOTTSVILLE, NY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BROWN & BROWN INS SVCS INC - NY. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 16-1425844 · plan 502 · plan year 2024, filed Oct 13, 2025
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
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.
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
The filing discloses a single insured line, dental, through EXCELLUS BLUE CROSS BLUE SHIELD, covering 107 people.
Reported premium across the insured contracts is $62,671, with $6,715 in disclosed broker commissions — about 11% 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.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD | Dental | 107 | Jan 1, 2025 | $62,671 | $6,715 |
Premium and claims on this contract
EXCELLUS BLUE CROSS BLUE SHIELD, contract 00056911. For the contract year on this filing, the carrier reported $62,671 in premium earned and $39,461 in claims incurred. Dividing one by the other gives 63%.
- EXCELLUS BLUE CROSS BLUE SHIELD, contract 00056911 reported $15,971 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Reported to OSHA
Reported to OSHA for 2025: 259 employees, 1 recordable cases, 49 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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