No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS, INC EIN 06-1475928 NONE | Float revenue; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $1.2M |
| CT COMPUTER SERVICE EIN 06-1106155 IT SERVICES | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $326K |
| C. EDWARDS EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $209K |
| TELLIGEN, INC. EIN 42-0992483 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $205K |
| L. LINTON EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $201K |
| D. SINISCALCHI EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $198K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $177K |
| S. ZLAMANY EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $175K |
| CT COALITION OF TAFT HARTLEY FUNDS EIN 22-3176650 NONE | Direct payment from the plan; Other services Service code 49 | — | $158K |
| K. DWYER EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $158K |
| C. DESKIN-MERWEDE EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $154K |
| DELTA DENTAL OF NEW JERSEY, INC. EIN 22-1896118 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $146K |
| ROBERT M. CHEVERIE & ASSOC. P.C. EIN 06-1335139 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $146K |
| OPTUM RX INC. EIN 33-0441200 NONE | Claims processing; Float revenue; Direct payment from the plan; Other fees Service code 12 | — | $145K |
| D. PALMIERI EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $141K |
| REID & RIEGE, P.C. EIN 06-0867204 NONE | Legal; Direct payment from the plan Service code 29 | — | $140K |
| T. DESKIN EIN 06-0662089 NONE | Employee (plan) Service code 30 | — | $137K |
| D. MARCANTONIO EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $123K |
| L. HINES EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $118K |
| C. KLEIN EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $109K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Direct payment from the plan; Actuarial; Consulting fees Service code 11 | — | $105K |
| MACKAY SHIELDS LLC EIN 13-5582869 NONE | Direct payment from the plan; Investment management Service code 28 | — | $93K |
| K. DELANEY EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $87K |
| K. BOOBER EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $87K |
| P. MCEWEN EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $83K |
| M. CAREY EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $83K |
| COUNSELING CENTER OF WATERBURY, LLC EIN 81-4652807 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $83K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $74K |
| M. PACELLI EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $73K |
| MPL, LLC EIN 06-1537302 NONE | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | — | $73K |
| N. BONTATIBUS EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| A. CORDIER EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| C. JABAUT EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| C. LAGOS EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $65K |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $61K |
| UNION PRINTING INC EIN 06-1414431 PRINTING CO. | Direct payment from the plan; Other services Service code 49 | — | $60K |
| C. METZ EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $58K |
| RED-CARD SYSTEMS, LLC EIN 20-5388701 NONE | Other services; Direct payment from the plan Service code 49 | — | $54K |
| OPTUM RX INC | Other fees Service code 99 | — | $53K |
| I. FEBRES EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $49K |
| S. DUNN EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $33K |
| L. PINGTREE EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $31K |
| FIDELITY SECURITY LIFE INSURANCE CO EIN 43-0949844 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $30K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $27K |
| SEGAL SELECT INSURANCE SERVICES INC EIN 46-0619194 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $24K |
| KAINEN, ESCALERA, & MICHALE, PC EIN 06-1570016 NONE | Legal; Direct payment from the plan Service code 29 | — | $22K |
| STATE STREET BANK AND TRUST COMPANY EIN 04-1867445 NONE | Float revenue; Custodial (securities); Direct payment from the plan; Other fees; Investment management Service code 19 | — | $22K |
| CHARLES KANTOR, MD NONE | Consulting (general); Direct payment from the plan Service code 16 | 21 WOODLAND STREET HARTFORD, CT 06105 | $18K |
| IDEAL PRINTING COMPANY, INC EIN 06-0399620 NONE | Other services; Direct payment from the plan Service code 49 | — | $14K |
| SR BUSINESS SYSTEMS EIN 06-0899035 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $13K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 2,550 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,294 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,844 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 3,458 | $472K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 3,458 | $472K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,458 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.