Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingThe primary carrier changed from the prior filing. The plan has shown it will move. Pitch it again on the next cycle.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Other | Other | |
Broker: The Segal Company Eastern States Stop-loss | Stop-loss | |
Other | Other | |
Broker: Labor-First LLC LifeOther | LifeOther |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 4 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 2,713 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 940 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,653 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 2,454 | $557K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 2,821 | $1.6M |
| Other(3 contracts, 3 carriers) | ANTHEM BLUE CROSS BLUE SHIELD | 2,454 | $3.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,821 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE BLUE CROSS & BLUE SHIELD EIN 23-7391136 NONE | Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services Service code 12 | — | $1.5M |
| COHEN, WEISS & SIMON EIN 13-1592323 UNION ATTY | Legal Service code 29 | — | $1.1M |
| TRIVELLA & FORTE, LLP EIN 13-4070172 NONE | Legal Service code 29 | — | $589K |
| NORTHWELL DIRECT ASO EIN 47-5182974 NONE | Claims processing Service code 12 | — | $462K |
| PAYER MATRIX LLC EIN 81-3946362 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general) Service code 15 | — | $429K |
| LABOR FIRST 06-1750191 | Insurance brokerage commissions and fees Service code 53 | — | $328K |
| MARIO BULDING EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $313K |
| LABOR FIRST EIN 06-1750191 NONE | Insurance agents and brokers Service code 22 | — | $304K |
| BRIDGEWAY BENEFIT TECHNOLOGIES LLC EIN 52-1796473 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting fees Service code 15 | — | $292K |
| THE SEGAL COMPANY EASTERN STATES EIN 13-1835864 NONE | Actuarial; Consulting (general) Service code 11 | — | $278K |
| FALZARANO & CO. EIN 20-8428954 NONE | Accounting (including auditing) Service code 10 | — | $240K |
| AMALGAMATED MEDICAL CARE MANAGEMENT EIN 13-3860528 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general) Service code 15 | — | $203K |
| CITRIN COOPERMAN ADVISORS EIN 87-2525370 NONE | Accounting (including auditing) Service code 10 | — | $194K |
| THOMAS J. ZULTKO EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $156K |
| LOCAL 282 PENSION TRUST FUND EIN 11-6245313 RELATED FUND | Direct payment from the plan; Other fees Service code 50 | — | $155K |
| TOCQUEVILLE ASSET MANAGEMENT LP EIN 13-3547557 NONE | Investment management Service code 28 | — | $132K |
| JIMMY CHENG EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $124K |
| STACEY BRAUN ASSOCIATES EIN 13-2889432 NONE | Investment management Service code 28 | — | $124K |
| HONG YING LI EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $115K |
| MACKAY SHIELDS EIN 13-5582869 NONE | Investment management Service code 28 | — | $115K |
| THE SEGAL COMPANY EASTERN STATES 13 | Insurance brokerage commissions and fees Service code 53 | — | $113K |
| GREEN LIGHT COST MANAGEMENT, LLC EIN 45-5248276 NONE | Consulting (general); Other services Service code 16 | — | $112K |
| HO Y HO EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $110K |
| OCTAVIA MALONE EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $109K |
| NICOLE MATTERN EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $108K |
| PATRICK SHURE EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $104K |
| GOULD, KOBRICK & SCHLAPP, P.C EIN 11-3082707 NONE | Accounting (including auditing) Service code 10 | — | $102K |
| DIEGO REMACHE EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $102K |
| ERIN A NOVAK EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $101K |
| MARY FRANCES MARTINI EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $99K |
| WING MAN CHEUNG EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $99K |
| STERN WONG EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $98K |
| AMANDA LAWRENCE EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $94K |
| NICOLE SIVERT EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $89K |
| SELEDENT, INC EIN 11-3310187 NONE | Contract Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $89K |
| JOSEPH PUCCIO EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $87K |
| JASMIN KHEMRAJ EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $83K |
| OMAR BHATTI EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $81K |
| THOMAS POWERS JR. EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $79K |
| MARTHA BOLANOS EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $77K |
| ANTHONY DAQUILA EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $77K |
| THERESA HIGGINS EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $75K |
| KIMBERLY A ERHART EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $74K |
| DEBORAH DEFOSSES EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $72K |
| LAUREN M. TLOCZKOWSKI EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $70K |
| SARAH SPOONER EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $69K |
| DAWN CARLUCCI EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $68K |
| LYNN MACALUSO EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $68K |
| DIANNE PERDICARO EIN 11-6244552 NONE | Employee (plan) Service code 30 | — | $67K |
| INTERCONTINENTAL REAL ESTATE CORP EIN 04-2895544 NONE | Investment management Service code 28 | — | $66K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
1 contact
10 filings · 2016 to 2025