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 pricingBroker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: The Segal Company (Eastern States) OtherLife | OtherLife |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 2 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 | 382 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 80 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 462 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNION LABOR LIFE INSURANCE COMPANY | 418 | $45K |
| Other | UNION LABOR LIFE INSURANCE COMPANY | 424 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 424 | - |
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.
| Broker | Commissions |
|---|---|
Carrier: Union Labor Life Insurance Company | |
Carrier: Union Labor Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, LLC EIN 47-0854646 NONE | Claims processing; Other services; Contract Administrator; Direct payment from the plan Service code 12 | — | $482K |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $245K |
| ZENITH AMERICAN SOULTIONS EIN 52-1590516 NONE | Direct payment from the plan; Plan Administrator Service code 14 | — | $115K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $93K |
| MAGALI AVILA EIN 11-6302784 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| SEGAL COMPANY (EASTERN STATES) EIN 13-1835864 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $78K |
| COLLERAN, O'HARA & MILLS, LLP EIN 11-2940050 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $63K |
| EAGLE ASSET MANAGEMENT EIN 59-2385219 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $34K |
| OPTUMRX, INC. EIN 33-0441200 NONE | Float revenue; Claims processing; Other fees; Direct payment from the plan Service code 12 | — | $30K |
| THE HARRISON GROUP NONE | Direct payment from the plan; Contract Administrator; Other services; Claims processing Service code 12 | 3 RAYMOND DRIVE SUITE 201 HAVERTOWN, PA 19083 | $20K |
| SEGAL SELECT INSURANCE SERVICES | Insurance brokerage commissions and fees Service code 53 | — | $18K |
| M&T BANK EIN 16-0538020 INVESTMENT CUSTODIAN | Float revenue; Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $16K |
| BENEFIT RESOURCE, LLC NONE | Claims processing; Other services; Contract Administrator; Direct payment from the plan Service code 12 | 245 KENNETH DRIVE ROCHESTER, NY 14623 | $14K |
| HIGHLAND CAPITAL MANAGEMENT EIN 26-5440911 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $14K |
| REYNOLDS CONSULTING SERVICES, LLC EIN 20-1899564 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $8K |
| OPTUMRX, INC | Other fees Service code 99 | — | $6K |
| PAYCHEX, INC. EIN 16-1124166 PAYROLL PROCESSING | Direct payment from the plan; Other services Service code 49 | — | $5K |
| SEGAL SELECT INSURANCE EIN 46-0619194 NONE | Insurance services; Insurance brokerage commissions and fees Service code 23 | — | $0 |
| UNITED HEALTHCARE SERVICES INC | Other fees Service code 99 | — | $0 |
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.
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11 filings · 2015 to 2025