No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS, INC EIN 06-1475928 NONE | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $817K |
| CT COMPUTER SERVICE EIN 06-1106155 IT SERVICES | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $204K |
| D. SINISCALCHI EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $180K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial; Direct payment from the plan; Consulting fees Service code 11 | — | $179K |
| TELLIGEN, INC. EIN 42-0992483 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $167K |
| L. LINTON EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $159K |
| C. EDWARDS EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $143K |
| S. ZLAMANY EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $139K |
| DELTA DENTAL OF NEW JERSEY, INC. EIN 22-1896118 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $125K |
| HEALTH PLAN SYSTEMS, INC. EIN 01-0589640 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $119K |
| ROBERT M. CHEVERIE & ASSOC. P.C. EIN 06-1335139 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $118K |
| REID & RIEGE, P.C. EIN 06-0867204 NONE | Legal; Direct payment from the plan Service code 29 | — | $118K |
| C. DESKIN-MERWEDE EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $102K |
| L. HINES EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $96K |
| K. DWYER EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $93K |
| CT COALITION OF TAFT HARTLEY FUNDS EIN 22-3176650 NONE | Direct payment from the plan; Other services Service code 49 | — | $89K |
| C. KLEIN EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $83K |
| D. MARCANTONIO EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $83K |
| MACKAY SHIELDS LLC EIN 13-5582869 NONE | Direct payment from the plan; Investment management Service code 28 | — | $83K |
| L. MACDOWELL EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $70K |
| CVS CAREMARK EIN 95-3382344 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $69K |
| K. BORGNINE EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $68K |
| S. DUNN EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $67K |
| L. RAMADA EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $67K |
| P. MCEWEN EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $67K |
| CCW-EAP LLC EIN 81-4652807 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $65K |
| R. CAPOZZO EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $61K |
| H. CASCO EIN 06-0662089 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $61K |
| C. JABAUT EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $50K |
| C. BUZINSKY EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $50K |
| C. METZ EIN 06-0662089 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $45K |
| IDEAL PRINTING COMPANY, INC. EIN 06-0399620 PRINTING CO. | Direct payment from the plan; Other services Service code 49 | — | $44K |
| TOP ECHELON CONTRACTING, LLC EIN 34-1704402 NONE | Direct payment from the plan; Other services Service code 49 | — | $41K |
| NEW YORK MEDICAL MANAGEMENT EIN 11-3274214 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $36K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $34K |
| MPL, LLC EIN 06-1537302 NONE | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | — | $30K |
| INT'L MARKETING SERVICES, LLC EIN 04-3573570 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $30K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $25K |
| SEGAL SELECT INSURANCE SERVICES INC | Insurance brokerage commissions and fees Service code 53 | — | $22K |
| CHARLES KANTOR, MD NONE | Consulting (general); Direct payment from the plan Service code 16 | 21 WOODLAND STREET HARTFORD, CT 06105 | $18K |
| STATE STREET BANK AND TRUST COMPANY EIN 04-1867445 NONE | Custodial (securities); Investment management; Float revenue; Other fees; Direct payment from the plan Service code 19 | — | $16K |
| WELLS FARGO BANK, N.A. EIN 94-1347393 NONE | Direct payment from the plan; Account maintenance fees Service code 50 | — | $16K |
| DAVIS VISION EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $14K |
| OPTUM EIN 41-1858498 NONE | Other commissions; Consulting (general); Direct payment from the plan Service code 16 | — | $9K |
| GIVING TREE CONSULTING, LLC NONE | Direct payment from the plan; Consulting (general) Service code 16 | 29 GLENBROOK ROAD WEST HARTFORD, CT 06107 | $8K |
| ZELIS CLAIMS INTEGRITY, LLC EIN 86-1040704 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $7K |
| BLACKROCK INSTITUTIONAL TRUST CO EIN 94-3112180 NONE | Trustee (discretionary); Trustee (bank, trust company, or similar financial institution); Investment management fees paid directly by plan; Direct payment from the plan; Investment management Service code 21 | — | $7K |
| BUCKLEY, FRAME, BOUDREAU & CO. P.C. EIN 06-0931761 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $6K |
| SEGAL SELECT INSURANCE EIN 46-0619194 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $0 |
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 | 2,326 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 914 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,240 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 3,211 | $407K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 3,211 | $407K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,211 | — |
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.