No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing Service code 12 | — | $272K |
| MAGNACARE ADMINISTRATIVE SERVICES EIN 11-3410766 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $97K |
| DIANA PUGLISI EIN 11-1586595 EMPLOYEE | Employee (plan) Service code 30 | — | $94K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2180279 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $75K |
| TINA NARDI EIN 11-1586595 EMPLOYEE | Employee (plan) Service code 30 | — | $59K |
| THE SEGAL COMPANY (EASTERN STATES) EIN 13-1835864 NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $59K |
| ROTHMAN ROCCA LARUFFA LLP EIN 47-5401457 NONE | Legal; Direct payment from the plan Service code 29 | — | $58K |
| MARIA DIMARIA EIN 11-1586595 EMPLOYEE | Employee (plan) Service code 30 | — | $53K |
| SHARON DIMARIA EIN 11-1586595 EMPLOYEE | Employee (plan) Service code 30 | — | $44K |
| MELISSA DIMARIA EIN 11-1586595 EMPLOYEE | Employee (plan) Service code 30 | — | $41K |
| EXPRESS SCRIPTS, INC EIN 43-1420563 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $39K |
| BRIANNA WERNHAM EIN 11-1586595 EMPLOYEE | Employee (plan) Service code 30 | — | $29K |
| CALIBRE CPA GROUP PLLC EIN 47-0900880 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $29K |
| AMALGAMATED MEDICAL CARE MGMT. EIN 13-3860528 NONE | Other services; Direct payment from the plan Service code 49 | — | $22K |
| SELF-INSURED DENTAL SERVICES EIN 11-2995970 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $22K |
| TEAMSTER CENTER SERVICES EIN 13-1964856 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $21K |
| STACEY BRAUN ASSOCIATES, INC EIN 13-2889432 NONE | Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 51 | — | $19K |
| REYNOLDS CONSULTING SERVICES, LLC EIN 20-1899564 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $17K |
| FREDRICK AST EIN 12-7420901 NONE | Direct payment from the plan; Other services Service code 49 | — | $7K |
| UNITED LABOR SYSTEMS NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $6K |
| AMALGAMATED BANK EIN 13-4920330 NONE | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $5K |
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 | 846 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 854 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 846 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 846 | — |
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.