No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 23-7391136 NONE | Plan Administrator; Direct payment from the plan; Contract Administrator Service code 13 | — | $1.2M |
| BUILDING SERVICE 32BJ HEALTH FUND EIN 13-2928869 AFFILIATE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $822K |
| SLEVIN & HART, P.C. EIN 52-1078613 NONE | Legal; Direct payment from the plan Service code 29 | — | $137K |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $109K |
| ADMINISTRATIVE SERVICES ONLY, INC EIN 11-2995970 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $72K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $66K |
| BOND BEEBE, P.C. EIN 52-1044197 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $55K |
| MEKETA INVESTMENT GROUP, INC. EIN 04-2659023 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $28K |
| CVS CAREMARK EIN 05-0494040 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $24K |
| BNY - MELLON EIN 13-5160382 NONE | Custodial (other than securities); Direct payment from the plan Service code 18 | — | $16K |
| H&H FINANCIAL PRINTING EIN 06-1648637 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $10K |
| IRON MOUNTAIN EIN 04-3038590 NONE | Direct payment from the plan; Other services Service code 49 | — | $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 | 2,980 | 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) | 2,980 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 2,961 | $142K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 2,961 | $142K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,961 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.