# BERGEN COUNTY COMMUNITY ACTION PROGRAM MEDICAL PLAN

Health and welfare plan sponsored by **GREATER BERGEN COMMUNITY ACTION PROGRAM**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | GREATER BERGEN COMMUNITY ACTION PROGRAM |
| EIN | 221818014 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | HACKENSACK, NJ |
| Industry | non-profit organization management |
| Funding | fully insured |
| Total premiums | $3.0M |
| Participants | 425 |
| Persons covered | 436 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| AETNA LIFE INSURANCE COMPANY | Health, Rx |
| DELTA DENTAL OF NEW JERSEY, INC. | Dental, Vision |
| HARTFORD LIFE AND ACCIDENT | STD, LTD |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Life |

## Brokers

| Broker | Placed with |
|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED | AETNA LIFE INSURANCE COMPANY |
| HUB INTERNATIONAL MIDWEST LIMITED | DELTA DENTAL OF NEW JERSEY, INC. |
| HUB INTERNATIONAL MIDWEST LIMITED | HARTFORD LIFE AND ACCIDENT |
| HUB INTERNATIONAL MIDWEST LIMITED | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA |
| FNA INS SERVICES INC | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA |
| HUB INTERNATIONAL MIDWEST LIMITED | DELTA DENTAL OF CONNECTICUT, INC. |

## 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/221818014-503
- Cite as: PlanOptica, https://planoptica.com/welfare/221818014-503
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