Form 5500 · Employee benefit plan · MELVILLE, NY
PROFESSIONAL ORTHOPEDIC & SPORTS PHYSICAL WELFARE PLAN
PROFESSIONAL ORTHOPEDIC & SPORTS PHYSICAL WELFARE PLAN of MELVILLE, NY insures dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is THE HILB GROUP OF NY. Coverage is written through FIRST UNUM LIFE INSURANCE CO and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 11-3431170 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 8 insured contracts covering dental, vision, life and disability; the largest, with FIRST UNUM LIFE INSURANCE CO, covers 212 people.
Reported premium across the insured contracts is $622,018, with $80,581 in disclosed broker commissions — about 13% 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.
THE HILB GROUP OF NY is the broker of record on all 8 contracts.
6 carriers appear on the filing — FIRST UNUM LIFE INSURANCE CO, GUARDIAN, FIDELITY SECUITY LIFE INSURANCE COMPANY OF NY and PROVIDENT LIFE AND CASUALTY INSURANCE CO among them — with FIRST UNUM LIFE INSURANCE CO writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| FIRST UNUM LIFE INSURANCE CO | Disability | 212 | December | $306,596 | $42,674 |
| GUARDIAN | Dental, Life | 977 | December | $151,565 | $17,111 |
| FIDELITY SECUITY LIFE INSURANCE COMPANY OF NY | Vision | 993 | December | $76,528 | $11,451 |
| PROVIDENT LIFE AND CASUALTY INSURANCE CO | — | — | December | $32,857 | $6,019 |
| PROVIDENT LIFE AND CASUALTY INSURANCE CO | — | 149 | December | $23,850 | $2,183 |
| PROVIDENT LIFE AND CASUALTY INSURANCE CO | — | 217 | December | $29,109 | $1,072 |
| FIRST UNUM LLIFE INSURANCE CO | — | 10 | December | $1,364 | $50 |
| FIDELITY SECURITY LIFE INSURANCE CO OF NY | Vision | 1 | December | $149 | $21 |
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