No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| V. LAGRECA EIN 11-1955915 FUND MANAGER | Contract Administrator Service code 13 | 201 W. VALLEY STREAM BLVD VALLEY STREAM, NY 11580 | $161K |
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 23-7391136 | Float revenue; Claims processing; Insurance brokerage commissions and fees; Insurance agents and brokers; Contract Administrator; Other commissions; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | 30750VANDERCAR WAY CINCINNATI, OH 45209 | $99K |
| A. DIGIOVANI EIN 11-1955915 CLERICAL | Employee (plan) Service code 30 | 201 W. VALLEY STREAM BLVD VALLEY STREAM, NY 11580 | $0 |
| DICKINSON GROUP EIN 20-1241472 THIRD PARTY ADM. | Claims processing Service code 12 | 825 EASTGATE BLVD GARDEN CITY, NY 11530 | $0 |
| JOSEPH GIOVINCO EIN 11-1955915 EMPLOYEE | Employee (plan) Service code 30 | 201 W. VALLEY STREAM BLVD VALLEY STREAM, NY 11580 | $0 |
| LAWRENCE S. FISCHER, CPA EIN 52-2326815 ACCOUNTANT | Accounting (including auditing) Service code 10 | 92 DOSORIS LANE GLEN COVE, NY 11542 | $0 |
| MCCARTHY, ET AL EIN 11-3033680 LAWYER | Legal Service code 29 | 271 NORTH AVE NEW ROCHELLE, NY 10801 | $0 |
| N. JEAN CHARLES EIN 11-1955915 CLERICAL | Employee (plan) Service code 30 | 201 W. VALLEY STREAM BLVD VALLEY STREAM, NY 11580 | $0 |
| SUMMIT ACTUARIAL SERVICES EIN 20-3838633 ACTUARY | Actuarial Service code 11 | 123 PREAKNESS DR NMT LAUREL, NJ 08054 | $0 |
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 | 516 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 517 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | INTEGRITY UNDERWRITERS AND BROKERS | 0 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.