No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM EIN 06-1475928 NONE | Direct payment from the plan; Contract Administrator; Claims processing; Other services; Float revenue Service code 12 | — | $261K |
| THE SEGAL COMPANY EIN 13-1928058 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $78K |
| LABOR FIRST LLC EIN 06-1750191 | Direct payment from the plan; Contract Administrator Service code 13 | — | $74K |
| EMPLOYEE X EIN 06-6077019 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $59K |
| REID & REIGE PC EIN 06-0868204 NONE | Legal; Direct payment from the plan Service code 29 | — | $58K |
| EMPLOYEE Z EIN 06-6077019 EMPLOYEE | Legal; Direct payment from the plan Service code 29 | — | $53K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $44K |
| EMPLOYEE W EIN 06-6077019 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $36K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $29K |
| BOSTON TRUST & INVESTMENT EIN 04-2273811 NONE | Trustee (directed); Trustee (discretionary); Investment management fees paid directly by plan; Custodial (securities); Direct payment from the plan Service code 19 | — | $21K |
| DELTA DENTAL EIN 22-1896118 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $16K |
| ROBERT M. CHEVERIE & ASSOC EIN 06-1335139 NONE | Legal; Direct payment from the plan Service code 29 | — | $12K |
| SEGAL MARCO ADVISORS, INC. EIN 13-2646110 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $10K |
| TRI-STATE EAP NONE | Contract Administrator; Direct payment from the plan Service code 13 | 16 MT. EBO RD. S. STE. 14A-13 BREWSTER, NY 10509 | $10K |
| WELLS FARGO EIN 94-1347393 NONE | Direct payment from the plan Service code 50 | — | $8K |
| HINGE HEALTH, INC. EIN 81-1884841 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $6K |
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 | 360 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 172 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 532 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNION LABOR LIFE INSURANCE COMPANY | 493 | $144K |
| Prescription drug | SIERRA HEALTH AND LIFE INSURANCE CO. INC. | 227 | $618K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 410 | $349K |
| Other(2 contracts, 2 carriers) | SIERRA HEALTH AND LIFE INSURANCE CO. INC. | 493 | $763K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 493 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.