| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY4 | 333 WEST 34TH STREET NEW YORK, NY 100012402 | AMALGAMATED LIFE INSURANCE COMPANY | $28K | — | $28K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAGNACARE ADMINISTRATIVE SERVICES EIN 11-3410766 CLAIMS PROCESSING | Direct payment from the plan; Claims processing Service code 12 | ONE PENN PLAZA 46TH FLOOR NEW YORK, NY 10119 | $705K |
| ANNALISA DEFALCO EIN 11-1628171 PLAN ADMINISTRATOR | Direct payment from the plan; Plan Administrator Service code 14 | 681 FULTON AVENUE HEMPSTEAD, NY 11550 | $147K |
| SAMANTHA LAYTON EIN 11-1628171 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 681 FULTON AVENUE HEMPSTEAD, NY 11550 | $141K |
| BARNES, IACCARINO & SHEPHERD, LLP EIN 26-3858697 LEGAL | Legal; Direct payment from the plan Service code 29 | 3 SURREY LANE HEMPSTEAD, NY 11550 | $100K |
| JAMES CORNELL EIN 11-1628171 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 681 FULTON AVENUE HEMPSTEAD, NY 11550 | $97K |
| WAGNER & ZWERMAN LLP EIN 11-2836481 ACCOUNTING | Direct payment from the plan; Accounting (including auditing) Service code 10 | 201 OLD COUNTRY ROAD SUITE 202 MELVILLE, NY 11747 | $97K |
| ROBIN SHERMAN EIN 11-1628171 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 681 FULTON AVENUE HEMSPTEAD, NY 11550 | $92K |
| REYNA MENDEZ EIN 11-1628171 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 681 FULTON AVENUE HEMPSTEAD, NY 11550 | $72K |
| THE SEGAL COMPANY, INC. EIN 13-1835864 ACTUARIAL | Actuarial; Consulting fees; Direct payment from the plan Service code 11 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $50K |
| D.D. SERVICES, INC. EIN 11-2705347 CLAIMS PROCESSING | Claims processing; Direct payment from the plan Service code 12 | 265 POST AVENUE SUITE 340 WESTBURY, NY 11590 | $50K |
| WORKFORCE ASSISTANCE PROGRAMS EIN 82-3812273 EAP SERVICES | Other services; Direct payment from the plan; Claims processing Service code 12 | 177A EAST MAIN STREET SUITE 161 NEW ROCHELLE, NY 10801 | $50K |
| KAREN HAGGERTY-HOCH EIN 11-1628171 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 681 FULTON AVENUE HEMPSTEAD, NY 11550 | $39K |
| REBECCA CORNELL EIN 11-1628171 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 681 FULTON AVENUE HEMPSTEAD, NY 11550 | $32K |
| TPA CORPORATION EIN 13-3329882 COMPUTER CONSULTANT | Consulting fees; Direct payment from the plan; Consulting (general) Service code 16 | PO BOX 433 CARMEL, NY 10512 | $28K |
| 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 | $26K |
| MAGNACARE ADMINISTRATIVE SERVICES 1 | Insurance brokerage commissions and fees Service code 53 | — | $26K |
| REYNOLDS CONSULTING SERVICES EIN 20-1899564 INVESTMENT CONSULTING | Investment advisory (plan); Investment management fees paid directly by plan; Consulting fees Service code 27 | 25 NEWBRIDGE ROAD HICKSVILLE, NY 11801 | $18K |
| PRUDENTIAL RETIREMENT INSURANCE EIN 06-1050034 CUSTODIAN & MANAGER | Investment management fees paid directly by plan; Custodial (securities); Investment management Service code 19 | 280 TRUMBULL STREET HARTFORD, CT 06013 | $18K |
| HESS TECHNOLOGY CONSULTING EIN 26-1664819 COMPUTER CONSULTANT | Consulting (general); Consulting fees; Direct payment from the plan Service code 16 | 3 BEDFORD ROAD CARMEL, NY 10512 | $9K |
| PROFESSIONAL EVALUATION MED GROUP EIN 11-3045787 DIAGNOSTIC SERVICES | Direct payment from the plan; Other services; Claims processing Service code 12 | 43A EAST BARCLAY STREET HICKSVILLE, NY 11801 | $8K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 CUSTODIAN & MANAGER | Investment management; Custodial (securities); Investment management fees paid directly by plan Service code 19 | 201 WASHINGTON STREET 15TH FLOOR BOSTON, MA 02108 | $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 | 1,250 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 281 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,531 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 1,200 | $570K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,200 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.