| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 | 333 WEST 34TH ST NEW YORK, NY 10001 | THE UNION LABOR LIFE INSURANCE COMPANY | $18K | — | $18K | 4.04% |
| THE SEGAL COMPANY3 | 333 WEST 34TH STREET NEW YORK, NY 10001 | AMALGAMATED LIFE INSURANCE CO. | $24K | — | $24K | 5.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 27-7391136 NONE | Contract Administrator; Direct payment from the plan; Claims processing; Other services; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $754K |
| 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 | — | $156K |
| LABOR FIRST LLC EIN 06-1750191 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $149K |
| THE SEGAL COMPANY (EASTERN STATES) EIN 13-1835864 NONE | Direct payment from the plan; Actuarial; Insurance brokerage commissions and fees Service code 11 | — | $76K |
| SAGE ADVISORY SERVICES, LTD CO EIN 74-2798841 INVESTMENT MANAGER | Investment management; Investment management fees paid directly by plan Service code 28 | — | $66K |
| HEALTH BENEFITS RESEARCH INC. EIN 27-3458128 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $52K |
| DELTA DENTAL EIN 11-1980218 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $51K |
| BRADY, MCGUIRE & STEINBERG, PC EIN 13-4089943 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $42K |
| SWIFTMD EIN 26-1306606 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $38K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $37K |
| INVESCO ADVISERS, INC. EIN 58-1707262 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $20K |
| BANK OF NEW YORK MELLON EIN 13-5160382 INVESTMENT CUSTODIAN | Custodial (securities); Float revenue; Other fees; Direct payment from the plan Service code 19 | — | $16K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $16K |
| THE SEGAL COMPANY (EAST STATES) INC | Insurance brokerage commissions and fees Service code 53 | — | $15K |
| CUNNINGHAM & CUNNINGHAM, LLP EIN 06-1506457 NONE | Legal; Direct payment from the plan Service code 29 | — | $12K |
| KAUFF, MCGUIRE & MARGOLIS, LLP EIN 13-3573855 NONE | Legal; Direct payment from the plan Service code 29 | — | $12K |
| RHUMBLINE ADVISORS EIN 04-3118582 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $7K |
| OPTUMRX, INC EIN 33-0441200 NONE | Other fees; Direct payment from the plan; Claims processing; Float revenue Service code 12 | — | $36 |
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 | 963 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 444 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,407 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DENTCARE DELIVERY SYSTEMS, INC. | 64 | $59K |
| Short-term disability | THE UNION LABOR LIFE INSURANCE COMPANY | 923 | $447K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE CO. | 963 | $434K |
| Other(3 contracts, 3 carriers) | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 1,082 | $2.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,082 | — |
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.