No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 CLAIMS PROCESSOR | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Float revenue; Other services Service code 12 | 165 BROADWAY NEW YORK, NY 10006 | $615K |
| BARNES, IACCARINO & SHEPHERD LLP EIN 26-3858697 ATTORNEY | Legal; Direct payment from the plan Service code 29 | 3 SURREY LANE HEMPSTEAD, NY 11550 | $97K |
| TOCQUEVILLE ASSET MANAGEMENT LP EIN 13-3547557 INVESTMENT MANAGER | Investment management fees paid directly by plan; Investment management Service code 28 | 40 WEST 57TH STREET 19TH FLOOR NEW YORK, NY 10019 | $96K |
| CHRISTINE COSTA EIN 13-1737041 PLAN ADMINISTRATOR | Direct payment from the plan; Plan Administrator Service code 14 | 140 BROADWAY HAWTHORNE, NY 10532 | $86K |
| MICHAEL CRUZ EIN 13-1737041 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 140 BROADWAY HAWTHORNE, NY 10532 | $72K |
| THE SEGAL COMPANY, INC. EIN 13-1835864 ACTUARY | Actuarial; Consulting fees; Consulting (general); Direct payment from the plan Service code 11 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $58K |
| WAGNER & ZWERMAN LLP EIN 11-2836481 ACCOUNTANT | Accounting (including auditing); Direct payment from the plan Service code 10 | 201 OLD COUNTRY ROAD SUITE 202 MELVILLE, NY 11747 | $56K |
| TPA CORPORATION EIN 13-3329882 COMPUTER CONSULTANT | Direct payment from the plan; Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 531 ROUTE 52 CARMEL, NY 10512 | $31K |
| JASMINE SANCHEZ EIN 13-1737041 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 140 BROADWAY HAWTORNE, NY 10532 | $28K |
| THEODOR H. BROWN, DDS EIN 13-3043628 DENTAL CONSULTANT | Direct payment from the plan; Consulting fees; Consulting (general) Service code 16 | 358 NORTH BROADWAY SUITE 201 SLEEPY HOLLOW, NY 10591 | $20K |
| MERRILL LYNCH CONSULTING SERVICES EIN 13-5674085 INVESTMENT CONSULTANT | Investment management fees paid directly by plan; Consulting fees; Investment advisory (plan) Service code 27 | 26 CENTURY HILL DRIVE LATHAM, NY 12110 | $9K |
| WILMINGTON TRUST NATIONAL ASSOC. EIN 16-1486454 INVESTMENT CUSTODIAN | Direct payment from the plan; Custodial (securities) Service code 19 | RODNEY SQUARE NORTH 1100 NORTH MARKET STREET WILMINGTON, DE 19890 | $6K |
| THE SEGAL COMPANY, INC. 13-1835864 | Insurance brokerage commissions and fees; Consulting (general) Service code 16 | — | $3K |
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 | 857 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 146 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,003 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 841 | $338K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 841 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.