# ARC HERKIMER WELFARE BENEFITS PLAN

Health and welfare plan sponsored by **ARC HERKIMER**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | ARC HERKIMER |
| EIN | 160973231 |
| Plan number | 520 |
| Plan year | 2025 |
| Location | HERKIMER, NY |
| Industry | individual & family services |
| Funding | fully insured |
| Total premiums | $1.3M |
| Participants | 259 |
| Persons covered | 261 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MVP HEALTHCARE | Health |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Other |
| NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | LTD |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Other |
| RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICA | Life, Other |
| METLIFE LEGAL PLANS | Other |

## Brokers

| Broker | Placed with |
|---|---|
| ROBERT G. RELPH AGENCY, INC. | MVP HEALTHCARE |
| ROBERT G. RELPH AGENCY, INC. | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| ALERA GROUP, INC. | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| WORLD INSURANCE ASSOCIATES LLC | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK |
| ROBERT G. RELPH AGENCY, INC. | FIRST UNUM LIFE INSURANCE COMPANY |
| ROBERT G. RELPH AGENCY, INC. | RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICA |
| ROBERT G. RELPH AGENCY, INC. | METROPOLITAN 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/160973231-520
- Cite as: PlanOptica, https://planoptica.com/welfare/160973231-520
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