Form 5500 · Employee benefit plan · ROCHESTER, NY
UNIVERSITY OF ROCHESTER
UNIVERSITY OF ROCHESTER of ROCHESTER, NY is a 19,583-participant education employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is EMPOWER BENEFITS, INC.. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 16-0743209 · plan 517 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering health and vision; the largest, with EXCELLUS BLUE CROSS BLUE SHIELD, covers 234 people.
Reported premium across the insured contracts is $4,654,635, with $274,789 in disclosed broker commissions — about 5.9% 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.
EMPOWER BENEFITS, INC. is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing — EXCELLUS BLUE CROSS BLUE SHIELD, VISION SERVICE PLAN and AETNA LIFE INSURANCE CO — with EXCELLUS BLUE CROSS BLUE SHIELD writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| VISION SERVICE PLAN | Vision | 14,441 | December | $2,237,996 | $196,478 |
| EXCELLUS BLUE CROSS BLUE SHIELD | Health | 234 | December | $2,402,260 | $76,865 |
| AETNA LIFE INSURANCE CO | Vision | 203 | December | $14,379 | $1,446 |
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