# KIPP NYC HEALTH AND WELFARE WRAP PLAN

Health and welfare plan sponsored by **KIPP NYC, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | KIPP NYC, LLC |
| EIN | 264180710 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | NEW YORK, NY |
| Industry | education management |
| Funding | mixed |
| Total premiums | $1.3M |
| Participants | 1,275 |
| Persons covered | 1,476 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental, Indemnity, Other |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | Other |

## Brokers

| Broker | Placed with |
|---|---|
| GALLAGHER BENEFIT SERVICES, INC. | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES |
| GALLAGHER BENEFIT SERVICES, INC. | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| IMG | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| GALLAGHER BENEFIT SERVICES, INC. | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | VISION SERVICE PLAN |
| NEW CHARTERS LLC | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |

## 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/264180710-501
- Cite as: PlanOptica, https://planoptica.com/welfare/264180710-501
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