| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO. (EASTERN STATES) INC. | — | ZURICH AMERICAN INSURANCE COMPANY | $49K | — | $49K | 5.50% |
| THE SEGAL COMPANY3 | 333 W 34TH STREEET NEW YORK, NY 10019 | THE UNION LABOR LIFE INSURANCE COMPANY | $13K | — | $13K | 3.29% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS BLUE SHIELD EIN 23-7391136 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services; Claims processing; Float revenue Service code 12 | — | $652K |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $202K |
| LABOR FIRST, LLC EIN 06-1750191 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $153K |
| THE SEGAL CO (EASTERN STATES), INC. EIN 13-1835864 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $83K |
| BRADY, MCGUIRE & STEINBERG, P.C. EIN 13-4089943 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $62K |
| HEALTH BENEFITS RESEARCH INC. EIN 27-3458128 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $52K |
| DELTA DENTAL OF NEW YORK EIN 11-1980218 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $51K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $46K |
| SAGE ADVISORY SERVICES, LTD. CO. EIN 74-2798841 INVESTMENT MANAGER | Investment management; Investment management fees paid directly by plan Service code 28 | — | $43K |
| SWIFTMD EIN 26-1306606 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $31K |
| CYBERSECOP, LLC EIN 82-5102442 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $20K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $14K |
| CUNNINGHAM & CUNNINGHAM, LLP EIN 06-1506457 NONE | Legal; Direct payment from the plan Service code 29 | — | $14K |
| KAUFF, MCGUIRE & MARGOLIS, LLP EIN 13-3573855 NONE | Legal; Direct payment from the plan Service code 29 | — | $14K |
| OPTUM RX, INC | Other fees Service code 99 | — | $12K |
| INVESCO ADVISERS, INC. EIN 58-1707262 NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $7K |
| OPTUM RX INC. EIN 33-0441200 NONE | Direct payment from the plan; Claims processing; Float revenue; Other fees Service code 12 | — | $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 | 890 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 459 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,349 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DENTCARE DELIVERY SYSTEMS, INC. | 54 | $42K |
| Short-term disability | THE UNION LABOR LIFE INSURANCE COMPANY | 867 | $392K |
| Stop-loss / reinsurancereinsurance | ZURICH AMERICAN INSURANCE COMPANY | 960 | $898K |
| Other(3 contracts, 3 carriers) | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 958 | $2.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 960 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.