No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 CLAIMS PROCESSOR | Float revenue; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | 165 BROADWAY NEW YORK, NY 10006 | $600K |
| TOCQUEVILLE ASSET MANAGEMENT LP EIN 13-3547557 INVESTMENT MANAGER | Investment management; Investment management fees paid directly by plan Service code 28 | 40 WEST 57TH STREET, 19TH FLOOR NEW YORK, NY 10019 | $114K |
| CHRISTINE COSTA EIN 13-1737041 PLAN ADMINISTRATOR | Direct payment from the plan; Plan Administrator Service code 14 | 140 BROADWAY HAWTHORNE, NY 10532 | $90K |
| BARNES, IACCARINO & SHEPHERD LLP EIN 26-3858697 LEGAL | Legal; Direct payment from the plan Service code 29 | 3 SURREY LANE HEMPSTEAD, NY 11550 | $85K |
| MILLIMAN, INC. EIN 91-0675641 ACTUARY | Direct payment from the plan; Actuarial Service code 11 | 150 CLOVE ROAD, 10TH FLOOR LITTLE FALLS, NJ 07424 | $73K |
| MICHAEL CRUZ EIN 13-1737041 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 140 BROADWAY HAWTHORNE, NY 10532 | $54K |
| WAGNER & ZWERMAN LLP EIN 11-2836481 ACCOUNTANT | Direct payment from the plan; Accounting (including auditing) Service code 10 | 201 OLD COUNTRY ROAD, SUITE 202 MELVILLE, NY 11747 | $36K |
| MILCIA FERMIN EIN 13-1737041 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 140 BROADWAY HAWTHORNE, NY 10532 | $26K |
| JINDRISKA GONZALEZ EIN 13-1737041 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 140 BROADWAY HAWTHORNE, NY 10532 | $25K |
| TPA CORPORATION EIN 13-3329882 COMPUTER CONSULTANT | Consulting fees; Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | PO BOX 433 CARMEL, NY 10512 | $25K |
| THEODOR H. BROWN, DDS EIN 13-3043628 DENTAL CONSULTANT | Consulting (general); Consulting fees; Direct payment from the plan Service code 16 | 36 ST. THOMAS DRIVE PALM BEACH GARDENS, FL 33418 | $21K |
| MERRILL LYNCH EIN 13-5674085 INVESTMENT CONSULTANT | Investment advisory (plan); Investment management fees paid directly by plan; Consulting fees Service code 27 | 26 CENTURY HILL DRIVE LATHAM, NY 12110 | $10K |
| M&T BANK INST'L RETIREMENT SERVICES EIN 16-0538020 INVESTMENT CUSTODIAN | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | 285 DELAWARE AVENUE, 3RD FLOOR BUFFALO, NY 14202 | $8K |
| HESS TECHNOLOGY CONSULTING, INC. EIN 85-1115144 COMPUTER CONSULTANT | Consulting fees; Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 1024 MCKINLEY STREET PEEKSKILL, NY 10566 | $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 | 839 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 84 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 923 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 833 | $306K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 833 | — |
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.