| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY | 333 WEST 34TH STREET NEW YORK, NY 10001 | AMALGAMATED LIFE INSURANCE CO. | $23K | — | $23K | 5.50% |
| REUBEN WARNER ASSOCIATES, INC.3 | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | ZURICH AMERICAN INSURANCE COMPANY | $0 | $0 | $0 | — |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY | 333 WEST 34TH STREET NEW YORK, NY 10001 | ZURICH AMERICAN INSURANCE COMPANY | $0 | $0 | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 27-7391136 NONE | Contract Administrator; Direct payment from the plan; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing Service code 12 | — | $659K |
| THE SEGAL COMPANY (EASTERN STATES) EIN 13-1835864 NONE | Actuarial; Insurance brokerage commissions and fees Service code 11 | — | $150K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 AUDITOR | Direct payment from the plan; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $132K |
| BRADY MCGUIRE & STEINBERG, PC EIN 13-4089943 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $87K |
| SAGE ADVISORY SERVICES, LTD CO. EIN 74-2798841 INVESTMENT MANAGER | Investment management fees paid directly by plan; Investment management Service code 28 | — | $70K |
| DELTA DENTAL EIN 11-1980218 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $54K |
| HEALTH BENEFITS RESEARCH INC. EIN 27-3458128 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $52K |
| SWIFTMD EIN 26-1306606 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $45K |
| CAREMARK EIN 75-2882129 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $29K |
| ISSI EIN 23-2182079 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $19K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $16K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 INVESTMENT CUSTODIAN | Custodial (securities); Direct payment from the plan; Float revenue; Other fees Service code 19 | — | $12K |
| CUNNINGHAM & CUNNINGHAM, LLP EIN 06-1506457 NONE | Legal; Direct payment from the plan Service code 29 | — | $11K |
| KAUFF, MCGUIRE & MARGOLIS, LLP EIN 13-3573855 NONE | Legal; Direct payment from the plan Service code 29 | — | $11K |
| RHUMBLINE ADVISERS EIN 04-3118582 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $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 | 1,136 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 415 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,551 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DENTCARE DELIVERY SYSTEMS, INC. | 76 | $61K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE CO. | 1,108 | $419K |
| Other | ZURICH AMERICAN INSURANCE COMPANY | 1,058 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,108 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.