BenefitsLedger
Employer health plan record · Plan year 2024 · Form 5500

The Adirondack Arc

Healthcare & social assistance · Tupper Lake, New York · EIN ending 0954

Updated Filing received by DOL a plan year 2025 filing was received June 1, 2026 for 1 of this employer's 2 plans; this record moves to 2025 when all have arrived

The Adirondack Arc, a healthcare & social assistance employer in Tupper Lake, New York, reported 219 participants in its health and welfare plans for plan year 2024. Its Form 5500 shows 9 insurance contracts with no premium reported and $81,898 in broker commissions and fees. The plan is a mix of insured and self-funded coverage. The Department of Labor received the filing on July 18, 2025, before the deadline.

Participants
219
−2.2% vs 2023
Premiums filed
none
premium not reported on 1 medical contract
Broker commissions + fees
$81,898
+0.1% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on The Adirondack Arc's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract The Adirondack Arc filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Robert G Relph Agency Inc · Rochester, NY$76,467$1,757$78,2249
Alera Group Inc · Deerfield, IL$0$2,520$2,5201
National Benefit Center · Beachwood, OH$0$1,154$1,1546

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
Metropolitan Life Insurance Companycoverage not coded17—$265—
The Guardian Life Insurance Company of Americadental, vision93—$6,158—
Mutual of Omaha Insurance Companycoverage not coded210—$380—
Mutual of Omaha Insurance Companylong-term disability33—$1,551—
Mutual of Omaha Insurance Companyshort-term disability36—$1,784—
Companion Life Insurance Companylife210—$1,023—
Mutual of Omaha Insurance Companycoverage not coded36—$114—
Companion Life Insurance Companylife36—$1,776—
MVP Health Carehealth152—$68,847—

Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How The Adirondack Arc compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
The Adirondack Arc
$81,898
Commission rate, % of medical premium

Not computable: no insured medical premium on the filing.

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$81,777$81,898Broker pay20232024
The Adirondack Arc: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants224219−2.2%
Premiums filed$0$0not comparable
Broker commissions + fees$81,777$81,898+0.1%
Commission rate———

Source: DOL Form 5500 filings for plan years 2023 and 2024.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
The Adirondack Arc Health & Welfare Benefits Plan#520 · insuranceDecember 31, 2024July 18, 2025before deadline219
The Adirondack Arc Section 105(h) Health Reimbursement Arrangement#525 · general assetsDecember 31, 2024July 18, 2025before deadline104

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did The Adirondack Arc pay in health insurance broker commissions in 2024?

The Adirondack Arc's 2024 Form 5500 reports $81,898 in broker commissions and fees across 9 insurance contracts ($76,467 in commissions, $5,431 in fees), with Robert G Relph Agency Inc receiving the largest share.

Is The Adirondack Arc's health plan self-funded or fully insured?

The 2024 filing indicates the plan is a mix of insured and self-funded coverage. Medical coverage is written by MVP Health Care.

How does The Adirondack Arc's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for The Adirondack Arc because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 200-499 participants that disclosed broker pay reported a median of $77,013.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.