# THE HAGEDORN LITTLE VILLAGE SCHOOL EMPLOYEE BENEFITS PLAN

Health and welfare plan sponsored by **THE HAGEDORN LITTLE VILLAGE SCHOOL**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | THE HAGEDORN LITTLE VILLAGE SCHOOL |
| EIN | 112222807 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SEAFORD, NY |
| Industry | Educational Services |
| Funding | fully insured |
| Total premiums | $1.3M |
| Participants | 112 |
| Persons covered | 159 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| ANTHEM LIFE INSURANCE COMPANY | Health, Rx, PPO |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental, Indemnity |
| EYEMED VISION CARE | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| EKA BROKERAGE SERVICES, INC. | ANTHEM BLUE CROSS |
| DOUBLE EAGLE AGENCY, INC. | ANTHEM BLUE CROSS |
| FNA INSURANCE SERVICES INC | ANTHEM BLUE CROSS |
| EKA BROKERAGE SERVICES, INC. | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES |
| FNA INSURANCE SERVICES INC | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES |
| DOUBLE EAGLE AGENCY, INC. | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES |
| EKA BROKERAGE SERVICES, INC. | EYEMED VISION CARE, FIDELITY SECURITY LIFE INS CO NY. |

## 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/112222807-501
- Cite as: PlanOptica, https://planoptica.com/welfare/112222807-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers