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Form 5500 · Employee benefit plan · UTICA, NY

UNITED CEREBRAL PALSY & HANDICAPPED PERS UTICA AREA INC EMPLOYEE CHOIC

The filing calls this plan UNITED CEREBRAL PALSY AND HANDICAPPED PERSONS ASSOCIATION OF THE UTICA AREA INC EMPLOYEE CHOICE PLAN.

UNITED CEREBRAL PALSY & HANDICAPPED PERS UTICA AREA INC EMPLOYEE CHOIC of UTICA, NY spreads its employee benefits across 6 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is GILROY KERNAN & GILROY INC. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 5 other carriers. The plan's most recent policy period ended in December.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 15-0543657 · plan 505 · plan year 2025, filed Jul 16, 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

Self-funded as reported

The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
1,095
Active at start of year
1,095
Active at end of year
1,279
Disclosed commissions
$51,893
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — EXCELLUS BLUE CROSS BLUE SHIELD611 of 1,095 participants (56%) on the largest contract
Dentalinsured — DELTA DENTAL OF NEW YORK1,062 of 1,095 participants (97%)
Visioninsured — DAVIS VISION1,076 of 1,095 participants (98%)
Lifeinsured — METROPOLITAN LIFE INSURANCE COMPANY1,279 of 1,095 participants
Disabilityinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA469 of 1,095 participants (43%) on the largest contract

Also declared: death benefits.

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 7 insured contracts covering health, dental, vision, life, disability and stop-loss; the largest, with EXCELLUS BLUE CROSS BLUE SHIELD, covers 611 people.

The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.

Reported premium across the insured contracts is $984,545, with $51,893 in disclosed broker commissions — about 5.3% 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.

GILROY KERNAN & GILROY INC is the broker of record on 4 of the 7 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICAHealth, Disability469Jan 1, 2026$294,302$22,161
METROPOLITAN LIFE INSURANCE COMPANYLife, Disability1,279Jan 1, 2026$192,440$12,441
EXCELLUS BLUE CROSS BLUE SHIELDHealth, Stop-loss611Jan 1, 2026$405,727$12,253
METROPOLITAN LIFE INSURANCE COMPANY—53Jan 1, 2026$39,023$5,038
DAVIS VISIONVision1,076Jan 1, 2026$34,046$0
EMPLOYEE NETWORK, INC.——Jan 1, 2026$19,007$0
DELTA DENTAL OF NEW YORKDental1,062Jan 1, 2026—$0

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
UNITED CEREBRAL PALSY & HANDICAPPED PERS UTICA AREA INC EMPLOYEE CHOIC
EIN 15-0543657
EXCELLUS BLUE CROSS BLUE-SHIELD
Claims processing · EIN 15-0329043
$0
paid directly by the plan
DELTA DENTAL OF NEW YORK
Claims processing · EIN 11-1980218
$0
paid directly by the plan
DAVIS VISION, INC.
Claims processing · EIN 11-3051991
$0
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 1,651 employees, 128 recordable cases, 2,671 days away from work.

EmployeesThe company's own average for the year
1,651
Hours worked
2,585,660
Recordable cases
128
Days away from work
2,671
Establishments filed under this EIN
64

Source: OSHA Injury Tracking Application establishment data, 2025.

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