No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC. EIN 23-7391136 NONE | Other services; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing Service code 12 | — | $1.7M |
| HEALTH PLAN SYSTEM, INC. EIN 01-0589640 IT CONSULT'-RELATED PLANS | Consulting (general) Service code 16 | — | $457K |
| NEW YORK MEDICAL MANAGEMENT, INC. EIN 11-3274214 REL'D TO HEALTH PLAN SYS | Consulting fees Service code 70 | — | $400K |
| COHEN, WEISS AND SIMON LLP EIN 13-1592323 COUNSEL FOR RELATED PLAN | Legal Service code 29 | — | $308K |
| PROSKAUER ROSE, LLP EIN 13-1840454 COUNSEL FOR RELATED PLANS | Legal Service code 29 | — | $277K |
| STACEY BRAUN ASSOCIATES INC. EIN 13-2889432 ADVISOR FOR RELATED PLANS | Soft dollars commissions; Investment management fees paid directly by plan Service code 51 | — | $158K |
| MARC PANTELEONE EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $152K |
| THE SEGAL COMPANY EIN 13-1835864 ACTUARY FOR RELATED PLAN | Actuarial; Consulting (general) Service code 11 | — | $146K |
| JAMES PANTELEONE EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $135K |
| MAGGIE WU EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $125K |
| TEAMSTER CENTER SERVICES FUND EIN 13-1964856 NONE | Consulting fees Service code 70 | — | $106K |
| THOMAS LAMONTANARO EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $100K |
| JAMES SOLIWODA EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $86K |
| ANWAR ZAIDI EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $75K |
| KATHERINE GONZALEZ EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $73K |
| ANTHONY SCULLY EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $72K |
| CELIA LIAW EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $69K |
| EXPRESS SCRIPTS, INC. EIN 22-3461740 NONE | Claims processing; Contract Administrator Service code 12 | — | $68K |
| JANINA JONES EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $67K |
| CONCEPCION ACEVEDO EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $64K |
| BUCK CONSULTANTS LLC EIN 16-0468020 NONE | Actuarial Service code 11 | — | $63K |
| JEANETTE BROWN EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $62K |
| NORMA NEGRON-DAVILA EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $50K |
| CARY KANE LLC EIN 20-1942442 COUNSEL FOR RELATED PLAN | Legal Service code 29 | — | $50K |
| JOSE MELENDEZ EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $49K |
| LAURA WALDENMAIER EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| KENNETH ROSA EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| NANCY ROSAS EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $47K |
| CHRISTINE NICOLETTI EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $45K |
| DR. ASHER MANSDORF NONE | Consulting fees Service code 70 | 360 CENTRAL AVENUE LAWRENCE, NY 11559 | $45K |
| LISA ROSA EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $42K |
| ELIZABETH SABELLA EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $41K |
| BUCHBINDER TUNICK & COMPANY LLP EIN 13-1578842 AUDITOR FOR RELATED PLANS | Accounting (including auditing) Service code 10 | — | $39K |
| ANDREW BRUNO EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $37K |
| MIRIAM CAMACHO EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $35K |
| LINDA PANTELEONE EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $32K |
| DOROTHY LUBERA EIN 11-1637886 EMPLOYEE | Employee (plan) Service code 30 | — | $25K |
| DR. FREDERICK M. TUCCI NONE | Consulting fees Service code 70 | 67-09 75TH STREET MIDDLE VILLAGE, NY 11379 | $24K |
| LAKE CONSULTING, INC. EIN 54-1897802 NONE | Actuarial Service code 11 | — | $23K |
| D.D. SERVICES INC. EIN 11-2705347 NONE | Other services Service code 49 | — | $23K |
| AMALGAMATED BANK EIN 13-4920330 PLAN CUSTODIAN | Investment management fees paid indirectly by plan; Custodial (securities) Service code 19 | — | $22K |
| AMERICAN ARBITRATION ASSOCIATION EIN 13-0429745 NONE | Other services Service code 49 | — | $16K |
| HOWARD C. EDELMAN EIN 26-1721708 NONE | Legal Service code 29 | — | $6K |
| SEGAL SELECT INSURANCE SERVICES INC | Insurance brokerage commissions and fees Service code 53 | — | $3K |
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 | 4,254 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 532 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,786 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 12,454 | $233K |
| Short-term disability | AMALGAMATED LIFE INSURANCE COMPANY | 4,228 | $557K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 12,454 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.