| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO EASTERN STATES INC. | 333 WEST 34TH STREET NEW YORK, NY 10001 | EMPIRE HEALTHCHOICE ASSURANCE INC | $28K | $8K | $36K | 11.45% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 23-7391136 NONE | Contract Administrator; Other commissions; Direct payment from the plan; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 12 | — | $2.3M |
| WALTER SARACENI EIN 11-1538293 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $283K |
| GLORIA MATERON EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $187K |
| WENDY SALVATIERRA EIN 11-1538293 NONE | Recordkeeping fees; Employee (plan) Service code 30 | — | $184K |
| VIRGINIA & AMBINDER, LLP EIN 13-4166736 NONE | Legal; Direct payment from the plan Service code 29 | — | $180K |
| THE SEGAL GROUP EIN 13-1835864 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $153K |
| UNITED BEHAVIORAL HEALTH EIN 94-3649097 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $151K |
| ADMINISTRATIVE SERVICES ONLY EIN 11-2995970 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $115K |
| O'DONOGHUE & O'DONOGHUE LLP EIN 51-0120528 NONE | Legal; Direct payment from the plan Service code 29 | — | $105K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $105K |
| SILVERSCRIPT INSURANCE COMPANY EIN 20-2833904 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $103K |
| MARSHALL & MOSS PAYROLL COMPLIANCE EIN 04-3652965 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $101K |
| CIGNA HEALTH & LIFE INSURANCE CO. EIN 59-1031071 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $92K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $71K |
| MEKETA INVESTMENT GROUP EIN 04-2659023 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $70K |
| STATE STREET GLOBAL ADVISORS TRUST EIN 81-4017137 NONE | Custodial (securities); Custodial (other than securities); Investment management fees paid directly by plan; Investment management Service code 18 | — | $64K |
| LINDA SCARPA EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $64K |
| KAUFF MCGUIRE & MARGOLIS LLP EIN 13-3573855 NONE | Legal; Direct payment from the plan Service code 29 | — | $63K |
| MARIA FROGIERO EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $55K |
| LOCKTIGHT SOLUTIONS INC NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 2166 BROADWAY, SUITE 17D NEW YORK, NY 10024 | $52K |
| MALKIA MCLUNE EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $51K |
| ROSA BERTOLINI EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $50K |
| ANAPA TRISTA GEORGE EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $49K |
| LAURIE KILLIEBREW EIN 11-1538293 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $49K |
| ERICKA SIMPSON EIN 11-1538293 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $49K |
| ATALANTA SOSNOFF CAPITAL LLC EIN 20-0461050 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $48K |
| BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Investment management fees paid directly by plan; Other services; Investment management Service code 28 | — | $48K |
| MINDY FEIERMAN EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $48K |
| BETSEY PADGETT EIN 11-1538293 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $48K |
| DIANA PETRACCIONE EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $48K |
| KWONG CHAN EIN 11-1538293 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $46K |
| SAMANTHA TABALA EIN 11-1538293 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $43K |
| INNOVATIVE SOFTWARE SOLUTIONS INC EIN 23-2182079 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $38K |
| KATHLEEN SCARPA EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $29K |
| PAYCHEX, INC. EIN 16-1124166 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $29K |
| UNION LABOR LIFE INSURANCE COMPANY EIN 13-1423090 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $24K |
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 | 3,116 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 751 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,867 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 3,824 | $651K |
| Stop-loss / reinsurancereinsurance | EMPIRE HEALTHCHOICE ASSURANCE INC | 3,313 | $315K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,824 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.