See the carriers, broker commissions and premiums for this plan.
It also shows filing history and funding margin. Your first month is $4.99.
See 2 contract rows with premium, retention and renewal dates. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
See commissions and fees for 2 broker rows. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| JOHN N MONGELLO EIN 11-1708617 HUSBAND- KATHY MONGELLO | Plan Administrator Service code 14 | 115 TOPAZ DRIVE FREEHOLD, NJ 07728 | $180K |
| JESSICA GAMBINO EIN 11-1708617 DAUGHTER- KATHY MONGELLO | Employee (plan) Service code 30 | 8 IROQUOIS DRIVE MANALAPAN, NJ 07726 | $85K |
| RESTAT, LLC EIN 38-3693753 NONE | Contract Administrator Service code 13 | 1516 PAYSPHERE CIRCLE CHICAGO, IL 60647 | $84K |
| FETINA SMALLHORNE EIN 11-1708617 NONE | Employee (plan) Service code 30 | 1139 PARK PLACE BROOKLYN, NY 11212 | $48K |
| GALINA FAYLORD EIN 11-1708617 NONE | Employee (plan) Service code 30 | 601 B SURF AVE APT 3N BROOKLYN, NY 11224 | $43K |
| ROSEMARIE MONGIELLO EIN 11-1708617 NONE | Employee (plan) Service code 30 | 225 KENSINGTON ROAD LYNBROOK, NY 11563 | $37K |
| VORMITTAG ASSOCIATES INC. EIN 11-2532460 NONE | Consulting (general) Service code 16 | 120 COMAC STREET RONKONKOMA, NY 11779 | $33K |
| S.A.KOENIG & ASSOCIATES CPAS, P.C. EIN 11-3141654 NONE | Accounting (including auditing) Service code 10 | 485 UNDERHILL BLVD SUITE 100 SYOSSET, NY 117913434 | $33K |
| TAMARA ARAKCHEYEVA EIN 11-1708617 NONE | Employee (plan) Service code 30 | 2942 WEST 5TH ST APT 7-K BROOKLYN, NY 11224 | $27K |
| MULTIPLAN, INC. EIN 13-3068979 NONE | Contract Administrator Service code 13 | PO BOX 29395 GPO NEW YORK, NY 100879395 | $21K |
| STARR, GERN, DAVISON, & RUBIN, PC EIN 22-3241223 NONE | Legal Service code 29 | 105 EISENHOWER PARKWAY SUITE 401 ROSELAND, NJ 070681640 | $14K |
| DDI CONSULTING SERVICES EIN 22-3369266 NONE | Consulting (general) Service code 16 | 221 SOMERVILLE ROAD BEDMINSTER, NJ 07921 | $10K |
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 | 635 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EMPIRE HEALTHCHOICE HMO, INC. | 97 | $1.1M |
| Other | HIP HEALTH PLAN OF NY AN EMBLEM HEALTH COMPANY | 76 | $478K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 97 | — |
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."
Premium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan is either richly funded or stuck with a bad rate.
Schedule A changed between filings. The plan moved between insured and self-funded, or contracts were added or removed. The transition window is open.