| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE LLC UNION BENEFIT PLANNERS | 120 EAGLE ROCK AVE STE 195 EAST HANOVER, NY 079363147 | AMALGAMATED LIFE INSURANCE CO. | $16K | — | $16K | 4.56% |
| UNION BENEFIT PLANNERS,3 | 120 EAGLE ROCK AVE STE 195 EAST HANOVER, NJ 079363147 | AMALGAMATED LIFE INSURANCE CO. | $12K | — | $12K | 14.89% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing; Direct payment from the plan; Other services Service code 12 | — | $464K |
| N. QUINN EIN 11-2159859 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $149K |
| V. CORDATO EIN 11-2159859 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $132K |
| T. TINERVIA EIN 11-2159859 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $116K |
| J. KIMMERLING EIN 11-2159859 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $108K |
| J. MUNOZ EIN 11-2159859 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $108K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Consulting (general); Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $74K |
| LOCAL 707 IBT EIN 13-5559086 RELATED PARTY | Direct payment from the plan; Other services Service code 49 | — | $68K |
| PRAGER METIS CPAS LLC EIN 06-1667465 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $57K |
| MED-CARE MANAGEMENT, INC. NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $46K |
| O'SULLIVAN ASSOCIATES EIN 20-8199367 NONE | Actuarial; Consulting (general) Service code 11 | — | $43K |
| DDS INC EIN 11-2705347 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $40K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $38K |
| MORGAN,LEWIS & BOCKIUS LLP EIN 23-0891050 NONE | Legal; Direct payment from the plan Service code 29 | — | $34K |
| CARY KANE, LLP EIN 20-1942442 NONE | Legal; Direct payment from the plan Service code 29 | — | $32K |
| OPTUMRX EIN 33-0441200 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $31K |
| ALLEGIANT RX/NORTHERN N.E. BENEFIT EIN 02-6015031 NONE | Contract Administrator; Direct payment from the plan; Other services Service code 13 | — | $30K |
| CARLO ANNESE, M.D EIN 11-2632850 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $28K |
| TEAMSTER CENTER SERVICES FUND EIN 13-1964856 NONE | Other services; Direct payment from the plan Service code 49 | — | $27K |
| MORGAN STANLEY SMITH BARNEY LLC EIN 20-8764829 NONE | Other investment fees and expenses; Investment advisory (plan); Direct payment from the plan Service code 27 | — | $25K |
| BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $24K |
| DAISY SINGH NONE | Consulting (general); Direct payment from the plan Service code 16 | 87-40 SANTIAGO STREET HOLLISWOOD, NY 11423 | $17K |
| JOSEPH M STERN, CPA EIN 11-2767324 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $17K |
| FABRICANT & FABRICANT INC EIN 13-1942233 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $11K |
| PERFECT PRINTING SOLUTIONS, INC. EIN 11-3104681 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $8K |
| DAVIS VISION (VERSANTHEALTH) EIN 11-3051991 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $5K |
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 | 1,060 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,068 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AMALGAMATED LIFE INSURANCE CO. | 1,180 | $78K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,148 | $106K |
| Other | AMALGAMATED LIFE INSURANCE CO. | 1,574 | $361K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,574 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.