Excellus Health Plan INC
Rochester, NY, 146470001
- Plans
- 8
- Total participants
- 99,304
- Filing years
- 2024, 2023, 2022, 2021, 2020
- NAICS
- 524140
Benefit plans on file
| Year | Form | Plan # | Plan name | Participants |
|---|---|---|---|---|
| 2024 | Form 5500 | 001 | Excellus Retirement Plan | 1,912 |
| 2024 | Form 5500 | 002 | Excellus 401(K) Plan | 4,359 |
| 2024 | Form 5500 | 005 | Healthcare Plan Tax Deferred Annuity | 0 |
| 2024 | Form 5500 | 502 | Excellus Health And Welfare Plan | 4,373 |
| 2024 | Form 5500 | 506 | Excellus Separation Pay | 4,373 |
| 2024 | Form 5500 | 507 | Excellus Group Term Life Insurance Plan | 4,373 |
| 2023 | Form 5500 | 001 | Excellus Retirement Plan | 2,038 |
| 2023 | Form 5500 | 002 | Excellus 401(K) Plan | 4,495 |
| 2023 | Form 5500 | 005 | Healthcare Plan Tax Deferred Annuity | — |
| 2023 | Form 5500 | 502 | Excellus Health And Welfare Plan | 4,490 |
| 2023 | Form 5500 | 507 | Excellus Group Term Life Insurance Plan | 4,490 |
| 2022 | Form 5500 | 001 | Excellus Retirement Plan | 2,138 |
| 2022 | Form 5500 | 002 | Excellus 401(K) Plan | 4,279 |
| 2022 | Form 5500 | 005 | Healthcare Plan Tax Deferred Annuity | — |
| 2022 | Form 5500 | 502 | Excellus Health And Welfare Plan | 4,352 |
| 2022 | Form 5500 | 506 | Excellus Separation Pay | 4,352 |
| 2022 | Form 5500 | 507 | Excellus Group Term Life Insurance Plan | 4,352 |
| 2021 | Form 5500 | 001 | Excellus Retirement Plan | 2,317 |
| 2021 | Form 5500 | 002 | Excellus 401(K) Plan | 4,068 |
| 2021 | Form 5500 | 005 | Healthcare Plan Tax Deferred Annuity | — |
| 2021 | Form 5500 | 502 | Excellus Health And Welfare Plan | 4,152 |
| 2021 | Form 5500 | 504 | Excellus Health Plan Travel Insurance Program | 4,151 |
| 2021 | Form 5500 | 506 | Excellus Separation Pay Plan | 4,151 |
| 2021 | Form 5500 | 507 | Excellus Group Term Life Insurance Plan | 4,151 |
| 2020 | Form 5500 | 001 | Excellus Retirement Plan | 2,512 |
| 2020 | Form 5500 | 002 | Excellus 401(K) Plan | 3,913 |
| 2020 | Form 5500 | 005 | Healthcare Plan Tax Deferred Annuity | — |
| 2020 | Form 5500 | 501 | Efpr Group LLP Employee Benefits Plan | 144 |
| 2020 | Form 5500 | 502 | Excellus Health And Dental Plan | 3,639 |
| 2020 | Form 5500 | 504 | Excellus Health Plan Travel Insurance Program | 3,910 |
| 2020 | Form 5500 | 506 | Excellus Separation Pay Plan | 3,910 |
| 2020 | Form 5500 | 507 | Excellus Group Term Life Insurance Plan | 3,910 |
Data shown as filed with the U.S. Department of Labor (EBSA), filing years 2020–2025; not validated by OpenERISA. View official filings for this EIN on the DOL EFAST2 search.
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