Form 5500 · Employee benefit plan · LANCASTER, NY
TRY-IT DISTRIBUTING
The filing calls this plan TRY-IT DISTRIBUTING GROUP HEALTH PLAN.
Public Form 5500 records show how TRY-IT DISTRIBUTING of LANCASTER, NY, a wholesale trade employer, structures its employee benefits. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through HARTFORD LIFE AND ACCIDENT and 3 other carriers. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 16-0666490 · plan 501 · plan year 2025, filed Jul 29, 2026
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156 other employer plans in New York have policy years ending in May. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
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 4 insured contracts covering vision, life and disability; the largest, with HARTFORD LIFE AND ACCIDENT, covers 606 people.
The filing declares vision, life, disability, health and dental. Health and dental appear 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 the contract here that does not say what it covers.
Reported premium across the insured contracts is $424,145, with $19,062 in disclosed broker commissions — about 4.5% of premium.
The most recent policy period ended in May, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
USI INSURANCE SERVICES LLC is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 606 | Jun 1, 2025 | $253,732 | $10,103 |
| STANDARD LIFE INS CO OF NY | Disability | 588 | Jan 1, 2026 | $126,682 | $5,179 |
| METROPOLITAN LIFE INSURANCE COMPANY | Vision | 1,028 | Jan 1, 2026 | $37,798 | $3,780 |
| ESI EMPLOYEE ASSISTANCE GROUP | — | 412 | Jan 1, 2026 | $5,933 | $0 |
Premium and claims on this contract
STANDARD LIFE INS CO OF NY, contract 448507. For the contract year on this filing, the carrier reported $126,682 in premium earned and $65,566 in claims incurred. Dividing one by the other gives 52%.
- STANDARD LIFE INS CO OF NY, contract 448507 reported $70,343 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.
Reported to OSHA
Reported to OSHA for 2025: 271 employees, 15 recordable cases, 1,052 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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Renewal calendar
156 other employer plans in New York are June 1 renewals (policy year ends May).
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