No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 23-7391136 NONE | Direct payment from the plan; Contract Administrator; Plan Administrator Service code 13 | — | $1.2M |
| BUILDING SERVICE 32BJ HEALTH FUND EIN 13-2928869 AFFILIATE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $792K |
| SCHULTHEIS PANETTIERI LLP EIN 13-1577780 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $101K |
| RAAB STRUM GANCHROW LLP EIN 13-1566077 NONE | Legal; Direct payment from the plan Service code 29 | — | $79K |
| DELTA DENTAL NONE | Contract Administrator; Direct payment from the plan Service code 13 | PO BOX 2105 MECHANICSBURG, PA 17055 | $70K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $66K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $62K |
| MEKETA INVESTMENT GROUP INC EIN 04-2659023 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $32K |
| SLEVIN HART PC EIN 52-1078613 NONE | Legal; Direct payment from the plan Service code 29 | — | $30K |
| H & H FINANCIAL PRINTING EIN 04-2659023 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $18K |
| JP MORGAN CHASE EIN 13-4994650 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $12K |
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 | 2,658 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 29 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,687 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 2,662 | $133K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 2,662 | $133K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,662 | — |
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.