| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY4 Filed as: SEGAL CONSULTING | 333 WEST 34TH STREET NEW YORK, NY 100012402 | AMALGAMATED LIFE | $16K | — | $16K | 5.00% |
| BRADLEY & PARKER, INC.3 Filed as: BRADLEY AND PARKER | 320 SOUTH SERVICE ROAD MELVILLE, NY 11747 | FEDERAL INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAGNACARE ADMINISTRATIVE SERVICES EIN 11-3410766 CLAIMS PROCESSING | Claims processing; Direct payment from the plan Service code 12 | ONE PENN PLAZA 46TH FLOOR NEW YORK, NY 10119 | $619K |
| ANNALISA DEFALCO EIN 11-1628171 PLAN ADMINISTRATOR | Plan Administrator; Employee (plan); Direct payment from the plan Service code 14 | 681 FULTON AVENUE HEMPSTEAD, NY 11550 | $132K |
| SAMANTHA BUCKLEY EIN 11-1628171 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 681 FULTON AVENUE HEMPSTEAD, NY 11550 | $126K |
| WAGNER & ZWERMAN LLP EIN 11-2836481 ACCOUNTING | Accounting (including auditing); Direct payment from the plan Service code 10 | 450 WIRELESS BLVD HAUPPAUGE, NY 11788 | $100K |
| BARNES, IACCARINO & SHEPHERD, LLP EIN 26-3858697 LEGAL | Legal; Direct payment from the plan Service code 29 | 3 SURREY LANE HEMPSTEAD, NY 11550 | $92K |
| JAMES CORNELL EIN 11-1628171 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 681 FULTON AVENUE HEMPSTEAD, NY 11550 | $88K |
| ROBIN SHERMAN EIN 11-1628171 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 681 FULTON AVENUE HEMSPTEAD, NY 11550 | $82K |
| LAUREN SHANNON EIN 11-1628171 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 681 FULTON AVENUE HEMPSTEAD, NY 11550 | $79K |
| THE SEGAL COMPANY, INC. EIN 13-1835864 ACTUARIAL | Consulting fees; Actuarial; Direct payment from the plan Service code 11 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $72K |
| REYNA MENDEZ EIN 11-1628171 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 681 FULTON AVENUE HEMPSTEAD, NY 11550 | $60K |
| D.D. SERVICES, INC. EIN 11-2705347 CLAIMS PROCESSING | Direct payment from the plan; Claims processing Service code 12 | 1640 HEMPSTEAD TPKE EAST MEADOW, NY 11554 | $42K |
| WORKFORCE ASSISTANCE PROGRAMS EIN 20-8231145 EAP SERVICES | Claims processing; Other services Service code 12 | 211 EAST MAIN STREET SUITE 161 NEW ROCHELLE, NY 10801 | $36K |
| KAREN HAGGERTY-HOCH EIN 11-1628171 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 681 FULTON AVENUE HEMPSTEAD, NY 11550 | $33K |
| TPA CORPORATION EIN 13-3329882 COMPUTER CONSULTANT | Consulting fees; Consulting (general); Direct payment from the plan Service code 16 | 531 ROUTE 52 CARMEL, NY 10512 | $31K |
| SUZANNE SPENCER EIN 11-1628171 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 681 FULTON AVENUE HEMPSTEAD, NY 11550 | $29K |
| M&T BANK INSTL RETIREMENT SERVICES EIN 16-0538020 INVESTMENT CUSTODIAN | Custodial (securities); Investment management fees paid directly by plan Service code 19 | ONE MT PLAZA 9TH FLOOR BUFFALO, NY 14203 | $28K |
| REYNOLDS CONSULTING SERVICES EIN 20-1899564 INVESTMENT CONSULTING | Consulting fees; Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | 25 NEWBRIDGE ROAD HICKSVILLE, NY 11801 | $17K |
| PRUDENTIAL RETIREMENT INSURANCE EIN 06-1050034 CUSTODIAN & MANAGER | Custodial (securities); Investment management; Investment management fees paid directly by plan Service code 19 | 280 TRUMBULL STREET HARTFORD, CT 06013 | $11K |
| OPTUM, RX. EIN 11-2581812 CLAIMS PROCESSING | Claims processing; Direct payment from the plan Service code 12 | 1600 MCCONNOR PKWY SCHAUMBURG, IL 60173 | $11K |
| MAGNACARE ADMINISTRATIVE SERVICES 1 | Insurance brokerage commissions and fees Service code 53 | — | $472 |
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 | 1,017 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 334 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE | 1,272 | $321K |
| Other | FEDERAL INSURANCE COMPANY | 4 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,272 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.