| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY Filed as: THE SEGAL COMPANY, INC. | 333 WEST 34TH STREET NEW YORK, NY 10001 | THE UNION LABOR LIFE INSURANCE COMPANY | $10K | — | $10K | 1.20% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE CO. EIN 06-6033492 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $1.6M |
| CVS PHARMACY, INC. EIN 05-0340626 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $235K |
| EMPLOYEE H EIN 06-0960814 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $171K |
| EMPLOYEE F EIN 06-0960814 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $167K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $160K |
| EMPLOYEE N EIN 06-0960814 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $98K |
| ROBERT M. CHEVERIE & ASSOCIATES P.C EIN 06-1335139 NONE | Direct payment from the plan; Other fees Service code 50 | — | $95K |
| EMPLOYEE I EIN 06-0960814 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $89K |
| EMPLOYEE L EIN 06-0960814 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $65K |
| EMPLOYEE J EIN 06-0960814 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $63K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Other fees; Accounting (including auditing) Service code 10 | — | $62K |
| EMPLOYEE G EIN 06-0960814 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $57K |
| EMPLOYEE D EIN 06-0960814 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $46K |
| EMPLOYEE C EIN 06-0960814 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $43K |
| EMPLOYEE K EIN 06-0960814 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $37K |
| EMPLOYEE M EIN 06-0960814 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $35K |
| EMPLOYEE E EIN 06-0960814 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $31K |
| EMPLOYEE A EIN 06-0960814 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $26K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $24K |
| FIRST AMERICAN ADMINISTRATORS, INC. EIN 86-0773195 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $16K |
| PRINCIPAL CUSTODIAL SOLUTIONS EIN 42-1520346 NONE | Direct payment from the plan; Custodial (other than securities); Custodial (securities) Service code 18 | — | $7K |
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 | 2,610 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,371 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,981 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 3,131 | $340K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 2,616 | $832K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 3,131 | $340K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,131 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.