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Form 5500 · Employee benefit plan · WATERFORD, NY

WINN CONSTRUCTION SERVICES INSURANCE

The filing calls this plan WINN CONSTRUCTION SERVICES INSURANCE PROGRAM.

WINN CONSTRUCTION SERVICES INSURANCE of WATERFORD, NY is a 25-participant construction employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is EMPLOYEE BENEFITS CENTER, LLC. Coverage is written through CDPHP and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-2428144 · plan 501 · plan year 2024, filed Sep 15, 2025

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How this plan is funded

Fully insured as reported

The plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.

All participants at the start of the year
25
Active at start of year
25
Active at end of year
24
Disclosed commissions
$0
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — CDPHP16 of 25 participants (64%)
Dentaldeclared, not on Schedule A
Visioninsured — EYEMED VISION CARE14 of 25 participants (56%)
Lifenot declared on this filing
Disabilitynot declared on this filing

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.

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 2 insured contracts covering health and vision; the largest, with CDPHP, covers 16 people.

The filing declares health and dental. Dental appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.

Reported premium is $263,160; the filing discloses no broker commission on these contracts.

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

EMPLOYEE BENEFITS CENTER, LLC is the broker of record on all 2 contracts.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CDPHPHealth16Jan 1, 2025$261,511$0
EYEMED VISION CAREVision14Jan 1, 2025$1,649$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
WINN CONSTRUCTION SERVICES INSURANCE
EIN 46-2428144

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

Money the plan held and paid out

Plan assets at year end
$40,434
Paid out in benefits
$263,790

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule I

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

Other plans filed by this employer

How this plan compares

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