Plan Ledger DOL Form 5500 · updated monthly

Excellus Health Plan Incbenefits

Excellus Separation Pay · ROCHESTER, NY · plan year 2024

Broker compensation reported · 2024
None reported

Excellus Health Plan Inc's benefits plans covered 4,373 active participants in 2024.

Insurance contracts · 20244
RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK · lifepremiums n/a · 5,728 covered
EXCELLUS BLUE CROSS BLUE SHEILD · health drugpremiums n/a · 185 covered
EXCELLUS BLUE CROSS BLUE SHIELD · healthpremiums n/a · 137 covered
EXCELLUS BLUE CROSS BLUE SHIELD · health drugpremiums n/a · 1,390 covered

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Source: DOL Form 5500 Schedule A, plan year 2024, EIN 150329043 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.