| 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. | $18K | — | $18K | 4.86% |
| UNION BENEFIT PLANNERS,3 | 120 EAGLE ROCK AVE STE 195 EAST HANOVER, NJ 079363147 | THE UNION LABOR LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| ACRISURE LLC Filed as: ACRISURE LLC UNION BENEFIT PLANNERS | 100 OTTAWA AVE., SW GRAND RAPIDS, MI 49503 | AMALGAMATED LIFE INSURANCE CO. | $10K | — | $10K | 13.68% |
| ACRISURE LLC Filed as: ACRISURE LLC UNION BEN. PLANNERS SF | 100 OTTAWA AVE., SW GRAND RAPIDS, MI 49503 | AMALGAMATED LIFE INSURANCE CO. | $3K | — | $3K | 4.56% |
| 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 | — | $440K |
| T. TINERVIA EIN 11-2159859 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $118K |
| N. QUINN EIN 11-2159859 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $110K |
| J. MUNOZ EIN 11-2159859 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $109K |
| J. KIMMERLING EIN 11-2159859 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $103K |
| V. CORDATO EIN 11-2159859 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $96K |
| PRAGER METIS CPAS LLC EIN 06-1667465 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $66K |
| LOCAL 707 IBT EIN 13-5559086 RELATED PARTY | Direct payment from the plan; Other services Service code 49 | — | $63K |
| O'SULLIVAN ASSOCIATES EIN 20-8199367 NONE | Consulting (general); Actuarial Service code 11 | — | $45K |
| VALENZ HEALTH EIN 81-5130313 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $41K |
| MORGAN,LEWIS & BOCKIUS LLP EIN 23-0891050 NONE | Legal; Direct payment from the plan Service code 29 | — | $40K |
| DDS INC EIN 11-2705347 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $39K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $38K |
| CARY KANE, LLP EIN 20-1942442 NONE | Legal; Direct payment from the plan Service code 29 | — | $35K |
| OPTUMRX EIN 33-0441200 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $35K |
| CARLO ANNESE, M.D EIN 11-2632850 NONE | Direct payment from the plan; Consulting (general) 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 | Direct payment from the plan; Other investment fees and expenses; Investment advisory (plan) Service code 27 | — | $25K |
| BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Custodial (securities); Investment management fees paid directly by plan Service code 19 | — | $25K |
| PERFECT PRINTING SOLUTIONS, INC. EIN 11-3104681 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $25K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general); Direct payment from the plan Service code 15 | — | $20K |
| JOSEPH M STERN, CPA EIN 11-2767324 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $18K |
| CHEIRON, INC. EIN 13-4215617 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $14K |
| DAISY SINGH NONE | Direct payment from the plan Service code 50 | 87-40 SANTIAGO STREET HOLLISWOOD, NY 11423 | $12K |
| DAVIS VISION (VERSANTHEALTH) EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $6K |
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 | 1,072 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,083 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AMALGAMATED LIFE INSURANCE CO. | 1,204 | $76K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 0 | $126K |
| Other | AMALGAMATED LIFE INSURANCE CO. | 1,551 | $366K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,551 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.