| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CONTEMPORARY STRATEGIC SOLUTIONS3 | 19 WILLOW LANE SPRING HEIGHTS, NJ 07762 | THE UNION LABOR LIFE INSURANCE COMPANY | $46K | — | $46K | 7.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAGNACARE EIN 11-3410766 NONE | Claims processing Service code 12 | — | $211K |
| MATTHEW PARSON EIN 11-3124836 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $155K |
| ROBERT SIACHITANO EIN 11-3124836 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $133K |
| DOLORES BLAKE EIN 11-3124836 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $129K |
| ARCHER, BYINGTON, GLENNON & LEVINE EIN 26-0873462 NONE | Legal; Direct payment from the plan Service code 29 | — | $101K |
| VALERIE ZABIELSKI EIN 11-3124836 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $58K |
| MICHELE BUSA EIN 11-3124836 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $58K |
| KMR SYSTEMS CORP EIN 13-3192128 NONE | Other services; Direct payment from the plan Service code 49 | — | $49K |
| SUMMIT ACTUARIAL SERVICES, LLC EIN 77-0645890 NONE | Actuarial Service code 11 | — | $34K |
| GUARDIAN LIFE EIN 13-5123390 NONE | Claims processing Service code 12 | — | $32K |
| ATALANTA SOSNOFF EIN 20-0461050 NONE | Soft dollars commissions; Investment management; Investment management fees paid directly by plan Service code 28 | — | $26K |
| CITRIN COOPERMAN & COMPANY LLP EIN 22-2428965 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $25K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Claims processing Service code 12 | — | $25K |
| QUAN-VEST CONSULTING EIN 11-2559669 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $14K |
| BANK OF AMERICA EIN 94-1687665 NONE | Investment management fees paid directly by plan; Float revenue; Investment management Service code 28 | — | $6K |
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 | 583 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 138 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 724 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF NEW YORK | 763 | $32K |
| Life insurance | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 928 | $178K |
| Prescription drug | BENISTAR GROUP RETIREE HEALTH SOLUTIONS | 174 | $349K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 686 | $651K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 928 | — |
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."
No prospect flags tripped on this filing.