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Form 5500 · Employee benefit plan · NEW HYDE PARK, NY

PREMIER CARE DENTAL MANAGEMENT, LLC

The filing calls this plan PREMIER CARE DENTAL MANAGEMENT HEALTH AND WELFARE BENEFIT PLAN.

PREMIER CARE DENTAL MANAGEMENT, LLC of NEW HYDE PARK, NY is a 492-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is PILOT BENEFITS GROUP LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in June.

Benefits broker of record
Policy year ends
Juneas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-0865358 · plan 501 · plan year 2025, filed Jan 29, 2026

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

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

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.

All participants at the start of the year
492
Active at start of year
492
Active at end of year
660
Disclosed commissions
$930
Typical renewal
July 1

Benefits declared on this filing

Healthinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY620 of 492 participants
Dentalnot declared on this filing
Visioninsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY620 of 492 participants on the largest contract
Lifenot declared on this filing
Disabilitynot 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.

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 2 insured contracts covering health and vision; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 620 people.

Reported premium across the insured contracts is $8,213,236, with $930 in disclosed broker commissions — about 0% of premium.

The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.

PILOT BENEFITS GROUP LLC is the broker of record on all 2 contracts.

Two carriers split the book: CIGNA HEALTH AND LIFE INSURANCE COMPANY and EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INS. CO. OF NY.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth, Vision620Jul 1, 2025$8,144,417$905
EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INS. CO. OF NYVision1,019Jul 1, 2025$68,819$25

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
PREMIER CARE DENTAL MANAGEMENT, LLC
EIN 46-0865358

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

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Renewal calendar

315 other employer plans in New York are July 1 renewals (policy year ends June).

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