| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RAMPART BENEFIT PLANNING INC3 Filed as: RAMPART BROKERAGE CORP | 1983 MARCUS AVENUE SUITE C130 LAKE SUCCESS, NY 11042 | SHELTERPOINT LIFE INSURNACE CO | $7K | — | $7K | 16.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 23-7391136 NONE | Plan Administrator; Contract Administrator; Direct payment from the plan Service code 13 | — | $1.3M |
| BUILDING SERVICE 32BJ HEALTH FUND EIN 13-2928869 AFFILIATE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $904K |
| SLEVIN & HART, P.C. EIN 52-1078613 NONE | Legal; Direct payment from the plan Service code 29 | — | $162K |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $94K |
| ADMINISTRATIVE SERVICES ONLY, INC EIN 11-2995970 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $76K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $66K |
| BOND BEEBE, P.C. EIN 52-1044197 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $55K |
| H&H FINANCIAL PRINTING EIN 06-1648637 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $48K |
| MEKETA INVESTMENT GROUP, INC. EIN 04-2659023 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $28K |
| CVS CAREMARK EIN 05-0494040 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $17K |
| BNY - MELLON EIN 13-5160382 NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $15K |
| ROY BARNES NONE | Direct payment from the plan; Consulting (general) Service code 16 | 258 SAW MILL RIVER ROAD ELMSFORD, NY 10523 | $10K |
| CQ FLUENCY EIN 32-0102982 NONE | Direct payment from the plan; Other services Service code 49 | — | $10K |
| IRON MOUNTAIN EIN 04-3038590 NONE | Other services; Direct payment from the plan Service code 49 | — | $9K |
| IRENE LIBERMAN DESIGN NONE | Consulting (general); Direct payment from the plan Service code 16 | 157 WEST 95TH STREET 1A/2A NEW YORK, NY 10025 | $6K |
| JULIA NOUROK NONE | Direct payment from the plan; Consulting (general) Service code 16 | 425 RIVERSIDE DRIVE APT 16D NEW YORK, NY 10025 | $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 | 3,068 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,068 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 3,117 | $139K |
| Short-term disability | SHELTERPOINT LIFE INSURNACE CO | 2,045 | $42K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 3,117 | $139K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,117 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.