| 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 | $21K | $14K | $35K | 10.16% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 23-7391136 NONE | Insurance agents and brokers; Float revenue; Other commissions; Claims processing; Insurance brokerage commissions and fees; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Direct payment from the plan Service code 12 | — | $2.3M |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $448K |
| THE SEGAL GROUP EIN 13-1835864 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $426K |
| WALTER SARACENI EIN 11-1538293 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $305K |
| CVS CAREMARK EIN 05-0340626 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $273K |
| GLORIA MATERON EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $200K |
| WENDY SALVATIERRA EIN 11-1538293 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $195K |
| VIRGINIA & AMBINDER, LLP EIN 13-4166736 NONE | Legal; Direct payment from the plan Service code 29 | — | $136K |
| UNITED BEHAVIORAL HEALTH EIN 94-2649097 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $134K |
| ADMINISTRATIVE SERVICES ONLY EIN 11-2995970 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $115K |
| BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Investment management fees paid directly by plan; Other services; Investment management Service code 28 | — | $113K |
| O'DONOGHUE & O'DONOGHUE LLP EIN 51-0120528 NONE | Legal; Direct payment from the plan Service code 29 | — | $106K |
| CIGNA HEALTH & LIFE INSURANCE CO. EIN 59-1031071 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $98K |
| MEKETA INVESTMENT GROUP EIN 04-2659023 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $70K |
| LINDA SCARPA EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $60K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $60K |
| KAUFF MCGUIRE & MARGOLIS LLP EIN 13-3573855 NONE | Legal; Direct payment from the plan Service code 29 | — | $57K |
| MARIA FROGIERO EIN 11-1538293 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $56K |
| ANAPA TRISTA GEORGE EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $50K |
| MALKIA MCLUNE EIN 11-1538293 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $50K |
| PREMIER TECHNOLOGY SOLUTIONS, INC. NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 232 MADISON AVE. NEW YORK, NY 10016 | $50K |
| ROSA BERTOLINI EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $50K |
| LAURIE KILLIEBREW EIN 11-1538293 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $49K |
| STATE STREET GLOBAL ADVISORS TRUST EIN 81-4017137 NONE | Investment management fees paid directly by plan; Custodial (securities); Investment management; Custodial (other than securities) Service code 18 | — | $49K |
| ERICKA SIMPSON EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the 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 |
| BETSEY PADGETT EIN 11-1538293 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $47K |
| DIANA PETRACCIONE EIN 11-1538293 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $47K |
| MINDY FEIERMAN EIN 11-1538293 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $47K |
| LIVONGO HEALTH, INC. NONE | Direct payment from the plan; Claims processing Service code 12 | — | $42K |
| SAMANTHA TABALA EIN 11-1538293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $42K |
| INNOVATIVE SOFTWARE SOLUTIONS INC EIN 23-2182079 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $41K |
| KATHLEEN SCARPA EIN 11-1538293 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $31K |
| UNION LABOR LIFE INSURANCE COMPANY EIN 13-1423090 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $23K |
| PAYCHEX, INC. EIN 16-1124166 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $20K |
| TRIBORO PRINTING NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 2502 STEINWAY ST, STE B ASTORIA, NY 11103 | $17K |
| LOCKTIGHT SOLUTIONS INC NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 2166 BROADWAY, SUITE 17D NEW YORK, NY 10024 | $9K |
| SEGAL SELECT INSURANCE SERVICES INC EIN 46-0619194 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $8K |
| MARSHALL & MOSS PAYROLL COMPLIANCE EIN 04-3652965 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $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 | 2,938 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 845 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,783 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 3,674 | $659K |
| Stop-loss / reinsurancereinsurance | EMPIRE HEALTHCHOICE ASSURANCE INC | 3,172 | $342K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,674 | — |
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."
No prospect flags tripped on this filing.