Form 5500 · Employee benefit plan · NEW YORK, NY
TAPESTRY, INC.
The filing calls this plan TAPESTRY, INC. WELFARE BENEFIT PLAN.
TAPESTRY, INC. of NEW YORK, NY insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is HEWITT INSURANCE BROKERAGE LLC. Coverage is written through AETNA LIFE INSURANCE COMPANY and 27 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 52-2242751 · plan 501 · plan year 2025, filed Jul 1, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
3,536 other employer plans in New York have policy years ending in December. 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.
Benefits declared on this filing
Vision: the largest of the 4 insured vision contracts, with METROPOLITAN LIFE INSURANCE COMPANY, covers 773 of 9,992 participants (7.7%) on Schedule A.
Also declared: prepaid legal, death benefits, 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 35 insured contracts covering health, dental, vision, life and disability.
Reported premium across the insured contracts is $62,845,909, with $1,959,154 in disclosed broker commissions — about 3.1% 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.
HEWITT INSURANCE BROKERAGE LLC is the broker of record on 6 of the 35 contracts; the rest name a different broker or none.
28 carriers appear on the filing, including AETNA LIFE INSURANCE COMPANY, ANTHEM BLUE CROSS, UNITEDHEALTHCARE INSURANCE COMPANY and CIGNA HEALTH AND LIFE INSURANCE COMPANY. AETNA LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY | Health, Dental | 2,481 | Jan 1, 2026 | $22,164,217 | $680,166 |
| ANTHEM BLUE CROSS | Health | 1,983 | Jan 1, 2026 | $14,724,393 | $510,940 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 6,150 | Jan 1, 2026 | $11,579,993 | $362,884 |
| DELTA DENTAL OF NEW YORK | Dental | 3,335 | Jan 1, 2026 | $1,701,154 | $102,038 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | — | 36 | Jan 1, 2026 | $372,162 | $53,964 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 240 | Jan 1, 2026 | $1,387,566 | $41,762 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health, Dental, Vision | 773 | Jan 1, 2026 | $493,408 | $30,799 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 118 | Jan 1, 2026 | $955,328 | $29,088 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 440 | Jan 1, 2026 | $385,850 | $22,956 |
| TRIPLE S SALUD, INC. | Health, Dental | 31 | Jan 1, 2026 | $354,187 | $17,545 |
| VISION SERVICE PLAN | Vision | 1,173 | Jan 1, 2026 | $217,447 | $16,309 |
| EYEMED VISION CARE | Vision | 1,868 | Jan 1, 2026 | $153,793 | $14,597 |
| UPMC HEALTH OPTIONS | Health | 49 | Jan 1, 2026 | $405,173 | $11,834 |
| PRIORITY HEALTH INSURANCE COMPANY | Health | 63 | Jan 1, 2026 | $387,548 | $11,626 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | Health | 807 | Jan 1, 2026 | $164,940 | $10,693 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 35 | Jan 1, 2026 | $227,862 | $6,948 |
| GEISINGER QUALITY OPTIONS, INC. | Health | 28 | Jan 1, 2026 | $214,160 | $6,425 |
| KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. | Health | 29 | Jan 1, 2026 | $198,239 | $5,428 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | Health | 21 | Jan 1, 2026 | $179,193 | $5,376 |
| MEDICAL MUTUAL | Health | 11 | Jan 1, 2026 | $124,693 | $3,752 |
| HEALTH NET | Health | 11 | Jan 1, 2026 | $115,040 | $3,450 |
| KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. | Health | 17 | Jan 1, 2026 | $107,201 | $3,120 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Dental | 765 | Jan 1, 2026 | $50,415 | $2,473 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 12 | Jan 1, 2026 | $80,389 | $2,372 |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | Health | 6 | Jan 1, 2026 | $34,961 | $1,037 |
| DELTA DENTAL OF NEW YORK | Dental | 76 | Jan 1, 2026 | $15,553 | $919 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Vision | 754 | Jan 1, 2026 | $7,493 | $527 |
| SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION | Health, Dental | 5 | Jan 1, 2026 | $882 | $56 |
| SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | Health, Dental | 5 | Jan 1, 2026 | $613 | $36 |
| SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | Health, Dental | 3 | Jan 1, 2026 | $567 | $34 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 308 | Jan 1, 2026 | $3,429,301 | $0 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 5,322 | Jan 1, 2026 | $1,360,670 | $0 |
| HARTFORD LIFE AND ACCIDENT | Life | 6,459 | Jan 1, 2026 | $830,058 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 51 | Jan 1, 2026 | $345,283 | $0 |
| LEGALPLANS, USA | — | 396 | Jan 1, 2026 | $76,177 | $0 |
Premium and claims on these contracts
TRIPLE S SALUD, INC., contract SP0001957. For the contract year on this filing, the carrier reported $354,187 in premium earned and $171,216 in claims incurred. Dividing one by the other gives 48%.
VISION SERVICE PLAN, contract 30077807. For the contract year on this filing, the carrier reported $217,447 in premium earned and $152,750 in claims incurred. Dividing one by the other gives 70%.
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC., contract 8185900. For the contract year on this filing, the carrier reported $179,193 in premium earned and $0 in claims incurred. Dividing one by the other gives 0%.
MEDICAL MUTUAL, contract 0147796-01. For the contract year on this filing, the carrier reported $124,693 in premium earned and $0 in claims incurred. Dividing one by the other gives 0%.
- TRIPLE S SALUD, INC., contract SP0001957 reported $17,545 in retention.
- VISION SERVICE PLAN, contract 30077807 reported $63,060 in retention.
- KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC., contract 8185900 reported $5,376 in retention.
- MEDICAL MUTUAL, contract 0147796-01 reported $3,752 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: 958 employees, 15 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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