No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| V. LAGRECA EIN 11-1955915 FUND MANAGER | Contract Administrator Service code 13 | 420 W. MERRICK ROAD VALLEY STREAM, NY 11580 | $179K |
| DICKINSON GROUP EIN 20-1241472 THIRD PARTY ADM. | Claims processing Service code 12 | 825 EASTGATE BLVD GARDEN CITY, NY 11530 | $127K |
| MCCARTHY & PREECE LLP EIN 11-3033680 LAWYER | Legal Service code 29 | 109 DANBURY ROAD RIDGEFIELD, CT 06877 | $35K |
| A. DIGIOVANI EIN 11-1955915 CLERICAL | Employee (plan) Service code 30 | 420 W. MERRICK ROAD VALLEY STREAM, NY 11580 | $15K |
| N. JEAN CHARLES EIN 11-1955915 CLERICAL | Employee (plan) Service code 30 | 420 W. MERRICK ROAD VALLEY STREAM, NY 11580 | $14K |
| ANTHONY RAINONE EIN 46-2849057 EMPLOYEE | Employee (plan) Service code 30 | 420 W. MERRICK ROAD VALLEY STREAM, NY 11580 | $11K |
| SUMMIT ACTUARIAL SERVICES EIN 20-3838633 ACTUARY | Actuarial Service code 11 | 123 PREAKNESS DR NMT LAUREL, NJ 08054 | $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 | 439 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 439 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | ULLICO | 0 | $266K |
| 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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.