No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GENERAL VISION SERVICES EIN 11-3580576 | Other services Service code 49 | 520 8TH AVENUE, SUITE 900 NEW YORK, NY 10018 | $92K |
| LAW OFFICES OF RICHARD A. DE CONCA EIN 22-3790772 | Legal Service code 29 | P.O. BOX 482 LAKEHURST, NJ 08733 | $48K |
| ANTHONY R. MANISCALCO JR EIN 27-1708868 | Accounting (including auditing) Service code 10 | 8 FORSYTHIA CT HOLTSVILLE, NY 11742 | $24K |
| FNA INSURANCE SERVICES | Consulting fees Service code 70 | 1000 WOODBURY RD, STE 403 WOODBURY, NY 11797 | $24K |
| SHAPIRO GOLDSTEIN MOSES & ARTUSO EIN 11-3335534 | Accounting (including auditing) Service code 10 | 7600 JERICHO TPKE STE 200 WOODBURY, NY 11797 | $21K |
| O'BRIEN BELLAND & BUSHINSKY LLC EIN 37-1467056 | Legal Service code 29 | 1526 BERLIN ROAD CHERRY HILL, NJ 08003 | $17K |
| DR. DOMINIC A. GROSSO | Consulting fees Service code 70 | 5 GLOBE COURT RED BANK, NJ 07701 | $12K |
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 | 4,541 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,541 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.