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 | — | $1.3M |
| BUILDING SERVICE 32BJ HEALTH FUND EIN 13-2928869 AFFILIATE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $873K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $106K |
| RAAB, STRUM & GANCHROW LLP EIN 13-1566077 NONE | Legal; Direct payment from the plan Service code 29 | — | $104K |
| 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 |
| SLEVIN & HART, P.C. EIN 52-1078613 NONE | Legal; Direct payment from the plan Service code 29 | — | $62K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $62K |
| H&H GRAPHIC PRINTING COMMUNICATIONS EIN 06-1648637 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $40K |
| MEKETA INVESTMENT GROUP, INC EIN 04-2659023 NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $32K |
| OPTUMRX EIN 33-0441200 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $24K |
| JPMORGAN CHASE EIN 13-4994650 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $12K |
| IRON MOUNTAIN NONE | Other services; Direct payment from the plan Service code 49 | 1 FEDERAL STREET BOSTON, MA 02110 | $5K |
| CHUBB | Insurance agents and brokers Service code 22 | — | $3K |
| SEGAL SELECT EIN 46-0619194 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $0 |
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 | 2,648 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 37 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,685 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 2,609 | $136K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 2,609 | $136K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,609 | — |
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.