# LONG ISLAND COMMUNITY HOSPITAL EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **LONG ISLAND COMMUNITY HOSPITAL**. Form 5500 filing for plan year 2024.

| Field | Value |
|---|---|
| Sponsor | LONG ISLAND COMMUNITY HOSPITAL |
| EIN | 111704595 |
| Plan number | 503 |
| Plan year | 2024 |
| Location | PATCHOGUE, NY |
| Industry | Health Care and Social Assistance |
| Funding | mixed |
| Total premiums | $335K |
| Participants | 777 |
| Persons covered | 1,516 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | Life, LTD, Other |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental |
| ANTHEM LIFE INSURANCE COMPANY | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| AON CONSULTING INC | THE GUARDIAN LIFE INSURANCE COMPANYOF AMERICA |
| RSC INSURANCE BROKERAGE INC | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK |
| EMERSON REID LLC | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/111704595-503
- Cite as: PlanOptica, https://planoptica.com/welfare/111704595-503
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers