# VAN BORTEL SUBARU OF ROCHESTER INC. WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **VAN BORTEL SUBARU OF ROCHESTER INC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | VAN BORTEL SUBARU OF ROCHESTER INC |
| EIN | 475454887 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | ROCHESTER, NY |
| Industry | Retail Trade |
| Funding | fully insured |
| Total premiums | $808K |
| Participants | 216 |
| Persons covered | 228 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MVP HEALTH CARE | Health, Rx |
| EXCELLUS BCBS | Dental |
| LINCOLN FINANCIAL GROUP | Other, Life |
| VISION SERVICE PLAN (VSP) | Vision |
| NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | Other |

## Brokers

| Broker | Placed with |
|---|---|
| BROWN & BROWN INSURANCE SERVICES | MVP HEALTH SERVICES CORP |
| BROWN & BROWN INSURANCE SERVICES | EXCELLUS BLUE CROSS BLUE SHIELD |
| BROWN & BROWN INSURANCE SERVICES | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK |
| BROWN & BROWN INSURANCE SERVICES | VISION SERVICE PLAN |

## 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/475454887-501
- Cite as: PlanOptica, https://planoptica.com/welfare/475454887-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers