BenefitsLedger
Employer health plan record · Plan year 2025 (latest filing) · Form 5500

White Plains Hospital Center C/O Human Resource Committee

Healthcare & social assistance · White Plains, New York · EIN ending 0130

Updated Filing received by DOL

White Plains Hospital Center C/O Human Resource Committee, a healthcare & social assistance employer in White Plains, New York, reported 4,357 participants in its health and welfare plan for plan year 2025. Its Form 5500 shows 5 insurance contracts with no premium reported and $538,170 in broker commissions and fees. The plan is self-funded (the employer pays claims itself). The Department of Labor received the filing on September 18, 2026, within the extension window.

Participants
4,357
+54.6% vs 2024
Premiums filed
none
self-funded or not filed
Broker commissions + fees
$538,170
+0.2% vs 2024
Commission rate
n/a
needs insured medical premium

Who was paid on White Plains Hospital Center C/O Human Resource Committee's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract White Plains Hospital Center C/O Human Resource Committee filed for 2025.

Broker or agentCommissionsFeesTotalContracts
David a Tetley · Fairfield, CT$295,439$0$295,4391
DBL General Agency · Melville, NY$0$92,008$92,0081
CM Smith Agency LLC · Hartford, CT$76,847$0$76,8471
USI Insurance Services · Virginia Beach, VA$52,730$2,572$55,3022
Alera Group, Inc · Deerfield, IL$0$12,234$12,2341
New England Financial Partners LLC · Fairfield, CT$0$6,340$6,3401

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2025, as published in EBSA's 2025 "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
Compsychcoverage not coded3,926———
Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co.vision5,689—$52,730—
Hartford Life and Accidentshort-term disability, long-term disability5,421—$479,100—
Metropolitan Life Insurance Companylife4,153———
Legalplans, USAcoverage not coded806—$6,340—

Source: DOL Form 5500 Schedule A, plan year 2025. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How White Plains Hospital Center C/O Human Resource Committee 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
White Plains Hospital Center C/O Human Resource Committee
$538,170
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

$537,302$538,170Broker pay20242025
White Plains Hospital Center C/O Human Resource Committee: premiums and broker commissions + fees, 2024 vs 2025
20242025Change
Participants2,8184,357+54.6%
Premiums filed$0$0—
Broker commissions + fees$537,302$538,170+0.2%
Commission rate———

Source: DOL Form 5500 filings for plan years 2024 and 2025.

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
White Plains Hospital Medical Center Insurance Benefits Plan#501 · insurance, general assetsDecember 31, 2025September 18, 2026within extension4,357

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 White Plains Hospital Center C/O Human Resource Committee pay in health insurance broker commissions in 2025?

White Plains Hospital Center C/O Human Resource Committee's 2025 Form 5500 reports $538,170 in broker commissions and fees across 5 insurance contracts ($425,016 in commissions, $113,154 in fees), with David a Tetley receiving the largest share.

Is White Plains Hospital Center C/O Human Resource Committee's health plan self-funded or fully insured?

The 2025 filing indicates the plan is self-funded (the employer pays claims itself).

How does White Plains Hospital Center C/O Human Resource Committee's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for White Plains Hospital Center C/O Human Resource Committee because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 1,000-4,999 participants that disclosed broker pay reported a median of $168,579.

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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.