form5500lookup

Form 5500 · Employee benefit plan · NEW YORK, NY

UBIQUITI INC.

The filing calls this plan UBIQUITI INC. HEALTH AND WELFARE PLAN.

UBIQUITI INC. of NEW YORK, NY insures vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is ABD INS. AND FINANCIAL SVCS., INC.. Coverage is written through THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and 2 other carriers. The plan's most recent policy period ended in October.

Benefits broker of record
Policy year ends
Octoberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 32-0097377 · plan 501 · plan year 2025, filed Mar 3, 2026

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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.

All participants at the start of the year
187
Active at start of year
187
Active at end of year
184
Disclosed commissions
$7,510
Typical renewal
November 1

Benefits declared on this filing

Healthdeclared, no contract here says it covers this
Dentaldeclared, no contract here says it covers this
Visioninsured — VISION SERVICE PLAN176 of 187 participants (94%)
Lifeinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA184 of 187 participants (98%)
Disabilityinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA184 of 187 participants (98%)

One contract on this filing does not say which benefits it covers, so a line above may be insured by it.

Also declared: 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.

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 3 insured contracts covering vision, life and disability; the largest, with THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, covers 184 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 $117,464, with $7,510 in disclosed broker commissions — about 6.4% of premium.

The most recent policy period ended in October, and the plan year ends October 31. Group contracts typically renew on that annual cycle.

ABD INS. AND FINANCIAL SVCS., INC. is the broker of record on all 3 contracts.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICALife, Disability184Nov 1, 2025$72,496$5,234
VISION SERVICE PLANVision176Nov 1, 2025$37,774$1,197
NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA—184Sep 1, 2025$7,194$1,079

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
UBIQUITI INC.
EIN 32-0097377

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

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