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Form 5500 · Employee benefit plan · ONEONTA, NY

SPRINGBROOK NY, INC.

SPRINGBROOK NY, INC. of ONEONTA, NY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ROBERT G RELPH AGENCY INC.. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 15-0539129 · plan 520 · as of Jul 2026

Participants
856
Carriers on file
4
Disclosed commissions
$20,545
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
EXCELLUS BLUE CROSS BLUE SHIELDDental452December$10,800
FIRST UNUM LIFE INSURANCE COMPANYLife226December$7,356
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICAVision438December$2,389
METROPOLITAN LIFE INSURANCE COMPANYLife, Disability1,472July$0

Questions

Who is SPRINGBROOK NY, INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, SPRINGBROOK NY, INC.'s broker of record is ROBERT G RELPH AGENCY INC..

What insurance carrier does SPRINGBROOK NY, INC. use?

SPRINGBROOK NY, INC.'s benefit plan is written through EXCELLUS BLUE CROSS BLUE SHIELD, among 4 disclosed carriers.

When does SPRINGBROOK NY, INC.'s group plan renew?

The most recent Schedule A policy period for SPRINGBROOK NY, INC. ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from SPRINGBROOK NY, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.