# BYRNE DAIRY, INC. GROUP HOSPITAL & MEDICAL INSURANCE PLAN

Health and welfare plan sponsored by **BYRNE DAIRY, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | BYRNE DAIRY, INC. |
| EIN | 150258780 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | LAFAYETTE, NY |
| Industry | supermarkets |
| Funding | mixed |
| Total premiums | $1.4M |
| Participants | 1,411 |
| Persons covered | 1,340 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| TOKIO MARINE HCC | Stop-loss |
| BERKLEY HATHAWAY SPECIALTY INSURANCE | Stop-loss |
| MUTUAL OF OMAHA INSURANCE COMPANY | STD, LTD, Other |
| COMPANION LIFE INSURANCE COMPANY | Life |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision |

## Brokers

| Broker | Placed with |
|---|---|
| LUX INSURANCE SERVICES | HCC LIFE INSURANCE COMPANY |
| LUX INSURANCE SERVICES | BERKLEY LIFE AND HEALTH INSURANCE CO |
| LUX INSURANCE SERVICES | MUTUAL OF OMAHA INSURANCE COMPANY |
| LUX INSURANCE SERVICES | COMPANION LIFE INSURANCE COMPANY |
| LUX INSURANCE SERVICES | GUARDIAN |
| JAMES R NELLIGAN & ASSOCIATES LLC | MUTUAL OF OMAHA INSURANCE COMPANY |
| JAMES R NELLIGAN & ASSOCIATES LLC | COMPANION LIFE INSURANCE COMPANY |

## 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/150258780-503
- Cite as: PlanOptica, https://planoptica.com/welfare/150258780-503
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