No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERICAN PLAN ADMINISTRATORS LLC EIN 11-3143880 CLAIMS PROCESSOR | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 14 HEYWARD STREET BROOKLYN, NY 11219 | $223K |
| M&G CAPITAL GROUP LLC EIN 42-1697949 COMMON BOARD OF DIRECTORS | Plan Administrator Service code 14 | 45 MAIN STREET BROOKLYN, NY 11201 | $48K |
| EMBLEMHEALTH, INC. EIN 13-3941542 NONE | Claims processing Service code 12 | 55 WATER ST LBBY 1 NEW YORK, NY 10041 | $36K |
| DEVON HEALTH SERVICES INC. EIN 23-2743471 NONE | Claims processing Service code 12 | 1100 FIRST AVENUE SUITE 100 KING OF PRUSSIA, PA 19406 | $25K |
| ROTH AND COMPANY LLP EIN 11-3360065 AUDITOR | Accounting (including auditing) Service code 10 | 1428 36TH STREET SUITE 200 BROOKLYN, NY 11218 | $18K |
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 | 568 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 568 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EMBLEMHEALTH, INC | 568 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 568 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.