Form 5500 · Employee benefit plan · DOBBS FERRY, NY
THE MASTERS SCHOOL
The filing calls this plan MASTERS SCHOOL, INC. - CAFETERIA PLAN.
Public Form 5500 records show how THE MASTERS SCHOOL of DOBBS FERRY, NY, a education employer, structures its employee benefits. Its broker of record is AUSTIN & CO INC. Coverage is written through ANTHEM BLUE CROSS AND BLUE SHIELD and 3 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-1740472 · plan 501 · plan year 2024, filed Oct 15, 2025
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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
5 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
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, dental, vision and disability; the largest, with ANTHEM BLUE CROSS AND BLUE SHIELD, covers 162 people.
The filing declares health, dental, vision, disability and life. Life appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 5 contracts here that do not say what they cover.
Reported premium across the insured contracts is $3,382,385, with $85,008 in disclosed broker commissions — about 2.5% of premium.
The health contract's policy period ended in June, while at least one ancillary line's policy period ended in July. The plan is on a split renewal cycle.
AUSTIN & CO INC is the broker of record on 7 of the 8 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ANTHEM BLUE CROSS AND BLUE SHIELD | Health, Dental, Vision | 162 | Jul 1, 2025 | $3,039,572 | $51,134 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision | 164 | Jul 1, 2025 | $187,422 | $12,375 |
| MUTUAL OF OMAHA INSURANCE COMPANY | Disability | 224 | Jul 2, 2025 | $53,930 | $8,090 |
| MUTUAL OF OMAHA INSURANCE COMPANY | — | 225 | Jul 2, 2025 | $48,663 | $7,299 |
| COMPANION LIFE INSURANCE COMPANY | — | 225 | Jul 2, 2025 | $31,256 | $3,126 |
| COMPANION LIFE INSURANCE COMPANY | — | 53 | Jul 2, 2025 | $15,376 | $2,306 |
| MUTUAL OF OMAHA INSURANCE COMPANY | — | 225 | Jul 2, 2025 | $4,940 | $494 |
| MUTUAL OF OMAHA INSURANCE COMPANY | — | 46 | Jul 2, 2025 | $1,226 | $184 |
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.
Other plans filed by this employer
How this plan compares
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