| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 | 333 WEST 34TH STREET NEW YORK, NY 10001 | THE UNION LABOR LIFE INSURANCE COMPANY | $54K | — | $54K | 6.13% |
| CONTEMPORARY STRATEGIC SOLUTIONS3 | 19 WILLOW LAKE SPRING LAKE HEIGHTS, NJ 07762 | THE UNION LABOR LIFE INSURANCE COMPANY | $18K | — | $18K | 2.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO. EIN 59-1031071 CONTRACT ADMINISTRATOR | Direct payment from the plan; Contract Administrator Service code 13 | 900 COTTAGE GROVE RD BLOOMFIELD, CT 06002 | $551K |
| ROSALBA PEREZ EIN 13-1564856 PLAN ADMINISTRATOR | Direct payment from the plan; Plan Administrator Service code 14 | 475 MARKET STREET, SUITE 307 ELMWOOD PARK, NJ 07407 | $186K |
| SLEVIN & HART P.C. EIN 52-1708613 ATTORNEY | Legal; Direct payment from the plan Service code 29 | 1300 CONNECTICUT AVENUE NW STE 700 WASHINGTON, DC 20036 | $165K |
| MARSHALL PARIS EIN 13-6367793 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 475 MARKET STREET, SUITE 307 ELMWOOD PARK, NJ 07407 | $107K |
| RAMONA AYBAR EIN 13-6367793 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 475 MARKET STREET, SUITE 307 ELMWOOD PARK, NJ 07407 | $82K |
| FLORMARIA TOULSON EIN 13-1564856 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 475 MARKET STREET, SUITE 307 ELMWOOD PARK, NJ 07407 | $76K |
| JOU ZOQUIER EIN 13-6367793 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 475 MARKET STREET, SUITE 307 ELMWOOD PARK, NJ 07407 | $74K |
| VEDWATIE PRASAD EIN 13-1564856 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 475 MARKET STREET, SUITE 307 ELMWOOD PARK, NJ 07407 | $70K |
| LOURDES LANZOT EIN 13-6367793 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 475 MARKET STREET, SUITE 307 ELMWOOD PARK, NJ 07407 | $69K |
| PIERRE J. BOUTIN EIN 13-1564856 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 475 MARKET STREET, SUITE 307 ELMWOOD PARK, NJ 07407 | $63K |
| JEAN EDY JOSEPH EIN 13-1564856 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 475 MARKET STREET, SUITE 307 ELMWOOD PARK, NJ 07407 | $61K |
| GETTRY MARCUS CPA, P.C. EIN 13-3418879 ACCOUNTANT | Accounting (including auditing); Direct payment from the plan Service code 10 | 88 FROEHLICH FARM BLVD. WOODBURY, NY 11797 | $58K |
| LOUVINIA GREENAWAY EIN 13-1564856 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 475 MARKET STREET, SUITE 307 ELMWOOD PARK, NJ 07407 | $55K |
| NELSY RODRIGUEZ EIN 13-1564856 EMPLOYEE | Direct payment from the plan Service code 50 | 475 MARKET STREET, SUITE 307 ELMWOOD PARK, NJ 07407 | $44K |
| CVS PHARMACY, INC EIN 05-0340626 CLAIMS PROCESSING | Direct payment from the plan; Claims processing Service code 12 | 180 PASSAIC AVE FAIRFIELD, NJ 07004 | $33K |
| BARNES, IACCARINO & SHEPHERD LLP EIN 26-3858697 ATTORNEY | Legal; Direct payment from the plan Service code 29 | 3 SURREY LANE HEMPSTEAD, NY 11550 | $30K |
| BOSTON TRUST & INVESMENT MANAGEMENT EIN 04-2273811 INVESTMENT MANAGER | Trustee (bank, trust company, or similar financial institution); Trustee (directed); Direct payment from the plan; Trustee (discretionary); Investment management Service code 21 | ONE BEACON STREET BOSTON, MA 02108 | $28K |
| VISION SCREENING EIN 11-2358021 CLAIMS PROCESSING | Claims processing; Direct payment from the plan Service code 12 | 1919 MIDDLE COUNTRY ROAD, SUITE 304 CENTEREACH, NY 11720 | $25K |
| THE SEGAL COMPANY, INC. EIN 13-1835864 ACTUARIAL | Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $18K |
| CITRIN COOPERMAN & COMPANY, LLP EIN 22-2428965 ACCOUNTANT | Direct payment from the plan; Accounting (including auditing) Service code 10 | 88 FROEHLICH FARM BLVD, 3RD FLOOR WOODBURY, NY 11797 | $15K |
| NEPC, LLC EIN 26-1429809 INVESTMENT ADVISORY | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | 255 STATE STREET BOSTON, MA 02109 | $14K |
| AMALGAMATED BANK EIN 13-4920330 PLAN CUSTODIAN | Custodial (securities); Direct payment from the plan Service code 19 | 275 7TH AVENUE NEW YORK, NY 10001 | $8K |
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 | 1,352 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,352 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(3 contracts, 2 carriers) | DENTCARE DELIVERY SYSTEMS | 1,307 | $382K |
| Life insurance | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | 1,640 | $186K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,356 | $885K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,640 | — |
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.