| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THOMAS DIMATTINA3 | 490 WHEELER ROAD, #185 HAUPPAUGE, NY 11788 | AETNA | $895K | $4K | $899K | 6.41% |
| THOMAS DIMATTINA3 | 490 WHEELER ROAD, #185 HAUPPAUGE, NY 11788 | AETNA | — | $19K | $19K | 2.47% |
| THOMAS DIMATTINA3 | 490 WHEELER ROAD, #185 HAUPPAUGE, NY 11788 | AETNA | $20K | — | $20K | 8.89% |
| THOMAS DIMATTINA3 | 111 CAPE COD WAY MOORESVILLE, NC 28117 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | — | — | $0 | — |
| THOMAS DIMATTINA3 | 111 CAPE COD WAY MOORESVILLE, NC 28117 | EMPIRE HEALTHCHOICE ASSURANCE INC | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THOMAS DIMATTINA EIN 27-1304711 NONE | Direct payment from the plan; Insurance brokerage commissions and fees; Claims processing Service code 12 | 111 CAPE COD WAY MOORESVILLE, NC 28117 | $938K |
| FITZSIMMONS ABRAMS, LLP EIN 13-2858927 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 7600 JERICHO TURNPIKE STE 210 WOODBURY, NY 11797 | $542K |
| LISA PARISI EIN 13-1567895 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 1406 BLONDELL AVENUE 2ND FL BRONX, NY 10461 | $227K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | ELEVEN TIME SQAURE NEW YORK, NY 10036 | $171K |
| DIANE FERCHLAND EIN 13-1567895 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 1406 BLONDELL AVENUE 2ND FL BRONX, NY 10461 | $132K |
| BOYD WATTERSON ASSET MANAGEMENT LLC EIN 34-1922005 NONE | Investment management fees paid indirectly by plan; Investment management fees paid directly by plan Service code 51 | 1801 EAST 9TH STREET STE 1400 CLEVLAND, OH 44114 | $108K |
| JBM COMPUTER CONSULTANTS, INC EIN 16-1173118 NONE | Direct payment from the plan; Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 20 NORTH AMERICAN DRIVE WEST SENECA, NY 14224 | $56K |
| COLLERAN O'HARA & MILLS, LLP EIN 11-2940050 NONE | Legal; Direct payment from the plan Service code 29 | 100 CROSSWAYS PARK DRIVE W STE 200 WOODBURY, NY 11797 | $51K |
| ULLICO INVESTMENT ADVISORS INC EIN 52-6435649 NONE | Investment management; Investment management fees paid directly by plan; Soft dollars commissions Service code 28 | 8403 COLESVILLE ROAD 13TH FL SILVER SPRING, MD 20910 | $44K |
| REYNOLDS CONSULTING SERVICES EIN 20-1899564 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | 25 NEWBRIDGE ROAD HICKSVILLE, NY 11801 | $33K |
| VINCENT SCHIAPPA VPS SYSTEMS EIN 56-2557916 NONE | Consulting (general); Direct payment from the plan Service code 16 | 2 LIPSON COURT EAST NORTHPORT, NY 11731 | $28K |
| POLEN CAPITAL MANAGEMENT EIN 26-0319356 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 1825 NW CORPORATE BLVD BOCA RATON, FL 33431 | $26K |
| FIRST ACTUARIAL CONSULTING, INC EIN 26-3842522 NONE | Direct payment from the plan; Actuarial Service code 11 | 1501 BROADWAY STE 1728 NEW YORK, NY 10036 | $15K |
| LEGG MASON & CO LLC EIN 01-0846058 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 55 WATER STREET NEW YORK, NY 10041 | $13K |
| AMALGAMATED BANK EIN 13-4940330 NONE | Investment management fees paid directly by plan; Custodial (securities); Investment management fees paid indirectly by plan Service code 19 | 275 7TH AVENUE NEW YORK, NY 10001 | $9K |
| BOOZ ALLEN HAMILTON NONE | Direct payment from the plan Service code 50 | 99 OTIS STREET STE 100 ROME, NY 13441 | $5K |
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 | 831 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 831 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA | 1,781 | $14.0M |
| Dental | AETNA | 1,781 | $14.0M |
| Vision(2 contracts, 2 carriers) | AETNA | 1,781 | $14.0M |
| Life insurance | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | 0 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,781 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.