Form 5500 · Employee benefit plan · PAINTED POST, NY
SERVU FEDERAL CREDIT UNION
The filing calls this plan SERVU FEDERAL CREDIT UNION WELFARE BENEFIT PLAN.
SERVU FEDERAL CREDIT UNION of PAINTED POST, 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 - EMPIRE. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 16-6041830 · plan 501 · plan year 2025, filed Jun 5, 2026
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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.
Benefits declared on this filing
Also declared: 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, life and disability; the largest, with EXCELLUS BLUE CROSS BLUE SHIELD, covers 58 people.
Reported premium across the insured contracts is $871,000, with $40,646 in disclosed broker commissions — about 4.7% 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.
BROWN & BROWN INS SVCS INC - EMPIRE is the broker of record on 1 of the 8 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including EXCELLUS BLUE CROSS BLUE SHIELD, COMPANION LIFE INSURANCE COMPANY, AFLAC and MUTUAL OF OMAHA INSURANCE COMPANY. EXCELLUS BLUE CROSS BLUE SHIELD writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD | Health | 58 | Jan 1, 2026 | $834,340 | $35,874 |
| COMPANION LIFE INSURANCE COMPANY | — | 69 | Jan 1, 2026 | $12,518 | $1,878 |
| AFLAC | — | 16 | Jan 1, 2026 | $9,404 | $1,132 |
| MUTUAL OF OMAHA INSURANCE COMPANY | Disability | 59 | Jan 1, 2026 | $7,099 | $710 |
| MUTUAL OF OMAHA INSURANCE COMPANY | Disability | 48 | Jan 1, 2026 | $4,070 | $610 |
| MUTUAL OF OMAHA INSURANCE COMPANY | — | 69 | Jan 1, 2026 | $1,484 | $233 |
| COMPANION LIFE INSURANCE COMPANY | Life | 131 | Jan 1, 2026 | $1,787 | $179 |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life | 131 | Jan 1, 2026 | $298 | $30 |
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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