# THE BURDICK COMPANIES MEDICAL TRUST

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

| Field | Value |
|---|---|
| Sponsor | DRIVERS VILLAGE, INC. |
| EIN | 161614967 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | CICERO, NY |
| Industry | automotive |
| Funding | mixed |
| Total premiums | $513K |
| Participants | 264 |
| Persons covered | 282 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| EXCELLUS BCBS | Stop-loss |
| METLIFE LEGAL PLANS | Vision |
| DELTA DENTAL OF CALIFORNIA | Dental |

## Brokers

| Broker | Placed with |
|---|---|
| AP BENEFIT ADVISORS, LLC | EXCELLUS BLUE CROSS BLUE SHIELD |
| AP BENEFIT ADVISORS, LLC | METROPOLITAN LIFE INSURANCE COMPANY |
| AP BENEFIT ADVISORS, LLC | DELTA DENTAL 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/161614967-503
- Cite as: PlanOptica, https://planoptica.com/welfare/161614967-503
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers