| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY | 333 WEST 34TH STREET NEW YORK, NY 10001 | ZURICH AMERICAN INSURANCE COMPANY | $6K | — | $6K | 15.00% |
| REUBEN WARNER ASSOCIATES, INC.3 | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | ZURICH AMERICAN INSURANCE COMPANY | — | $6K | $6K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 27-7391136 NONE | Float revenue; Contract Administrator; Claims processing; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $578K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 AUDITOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing) Service code 10 | — | $121K |
| THE SEGAL COMPANY (EASTERN STATES) EIN 13-1835864 NONE | Actuarial Service code 11 | — | $78K |
| SAGE ADVISORY SERVICES, LTD CO. EIN 74-2798841 INVESTMENT MANAGER | Investment management fees paid directly by plan; Investment management Service code 28 | — | $68K |
| HEALTH BENEFITS RESEARCH, INC. EIN 27-3458128 NONE | Consulting (general) Service code 16 | — | $52K |
| DELTA DENTAL EIN 11-1980218 NONE | Claims processing Service code 12 | — | $47K |
| BRADY, MCGUIRE & STEINBERG PC EIN 13-4089943 ATTORNEY | Legal Service code 29 | — | $47K |
| CAREMARK EIN 75-2882129 NONE | Claims processing Service code 12 | — | $32K |
| BANK OF NEW YORK EIN 13-6580596 INVESTMENT CUSTODIAN | Custodial (securities); Float revenue; Other fees Service code 19 | — | $20K |
| RAPP INDUSTRIES, INC. EIN 22-2034252 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $16K |
| SEGAL ADVISORS, INC EIN 13-2646110 NONE | Investment advisory (plan) Service code 27 | — | $16K |
| CUNNINGHAM & CUNNINGHAM, LLP EIN 06-1506457 NONE | Legal Service code 29 | — | $13K |
| KAUFF, MCGUIRE & MARGOLIS, LLP EIN 13-3573855 NONE | Legal Service code 29 | — | $10K |
| RHUMBLINE ADVISERS EIN 04-3118582 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $7K |
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 | 1,063 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 406 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,469 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DENTCARE DELIVERY SYSTEMS, INC. | 80 | $63K |
| Other | ZURICH AMERICAN INSURANCE COMPANY | 1,058 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,058 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.