No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 23-7391136 NONE | Direct payment from the plan; Other services; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Claims processing Service code 12 | 165 BROADWAY NEW YORK, NY 10006 | $1.6M |
| O'DWYER BERNSTEIN LLP EIN 13-5286665 NONE | Legal; Direct payment from the plan; Plan Administrator Service code 14 | 54 DUANE STREET NEW YORK, NY 10007 | $308K |
| C&R CONSULTING INC EIN 13-3935364 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Claims processing Service code 12 | 1501 BROADWAY STE 1724 NEW YORK, NY 10036 | $246K |
| LITTLER MENDELSON PC EIN 94-2602731 NONE | Legal; Direct payment from the plan Service code 29 | 290 BROADHOLLOW RD 305 MELVILLE, NY 11747 | $190K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 1623 BUCKEYE DRIVE MILPITAS, CA 95035 | $136K |
| FITZSIMMONS ABRAMS, LLP EIN 13-2858927 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 7600 JERICHO TPKE STE 210 WOODBURY, NY 11797 | $97K |
| ZACHARY HARKIN, ESQ. EIN 13-1912506 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 36-36 33RD STREET STE 202 LONG ISLAND CITY, NY 11106 | $94K |
| MARYANN FALCE EIN 13-1912506 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 36-36 33RD ST STE 202 LONG ISLAND CITY, NY 11106 | $90K |
| PRINCIPAL ENHANCED PROPERTY FUND LP EIN 20-0928198 NONE | Investment management Service code 28 | 801 GRAND AVENUE G-17 DES MONINES, IA 50309 | $64K |
| FIRST ACTUARIAL CONSULTING INC EIN 26-3842522 NONE | Actuarial; Direct payment from the plan Service code 11 | 1501 BROADWAY STE 1728 NEW YORK, NY 10036 | $60K |
| CORY CAPITAL ADVISORS LLC EIN 26-0510274 NONE | Investment management fees paid indirectly by plan Service code 52 | ONE WORLD TRADE CENTER NEW YORK, NY 10007 | $54K |
| CATHERINE WENZELL EIN 13-1912506 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 36-36 33RD ST STE 202 LONG ISLAND CITY, NY 11106 | $54K |
| DAVID NIGAI EIN 13-1912506 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 36-36 33RD ST STE 202 LONG ISLAND CITY, NY 11106 | $51K |
| MARIA DIAZ EIN 13-1912506 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 36-36 33RD STREET STE 202 LONG ISLAND CITY, NY 11106 | $44K |
| CPS DENTAL EIN 13-3541700 NONE | Direct payment from the plan; Claims processing; Contract Administrator Service code 12 | 11 HANOVER SQ, 8TH FLOOR NEW YORK, NY 10005 | $41K |
| CYBER CLARITY INC. EIN 45-2528225 NONE | Direct payment from the plan; Other fees Service code 50 | 15722 RYDER CT. HAYMARKER, VA 20169 | $38K |
| JESSICA PANIAGUA EIN 13-1912506 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 36-36 33RD STREET STE 202 LONG ISLAND CITY, NY 11106 | $37K |
| REYNOLDS INVESTMENT CONSULTING SRVC EIN 20-1899564 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | 25 NEWBRIDGE ROAD HICKSVILLE, NY 11801 | $35K |
| GARY HAHN EIN 13-1912506 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 36-36 33RD STREET STE 202 LONG ISLAND CITY, NY 11106 | $29K |
| JOAN SULAY EIN 13-1912506 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 36-36 33RD STREET STE 202 LONG ISLAND CITY, NY 11106 | $25K |
| TECHFORMATIVE INC. EIN 61-1582594 NONE | Other fees; Direct payment from the plan Service code 50 | 5708 WINDLESTRAW DR ST23 DURHAM, NC 27713 | $23K |
| BOYD WATTERSON ASSET MANAGEMENT LLC EIN 34-1922005 NONE | Investment management fees paid indirectly by plan Service code 52 | 1081 E. 9TH ST, STE 1400 CLEVLAND, OH 44114 | $21K |
| AMALGAMATED BANK EIN 13-4920330 NONE | Custodial (securities); Investment management fees paid indirectly by plan; Investment management fees paid directly by plan Service code 19 | 275 7TH AVENUE NEW YORK, NY 10001 | $21K |
| WAGE WORKS INC NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | 1000 PARK PLACE, 4TH FL SAN MATEO, CA 94403 | $15K |
| EXPRESS SCRIPTS (MEDCO) EIN 22-3461740 NONE | Contract Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue Service code 12 | 100 PARSON POND DR FRANKLIN LAKES, NJ 07417 | $14K |
| CPS OPTICAL EIN 13-3025997 NONE | Direct payment from the plan; Claims processing; Contract Administrator Service code 12 | 11 HANOVER SQ, 8TH FLOOR NEW YORK, NY 10005 | $10K |
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 | 2,254 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 19 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,273 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | EMPIRE HEALTHCHOICE ASSURANCE INC. | 0 | $0 |
| Dental(2 contracts) | EMPIRE HEALTHCHOICE ASSURANCE INC. | 0 | $0 |
| Vision | EMPIRE HEALTHCHOICE ASSURANCE INC. | 0 | $0 |
| Life insurance | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | 0 | $171K |
| Stop-loss / reinsurancereinsurance | EMPIRE HEALTHCHOICE ASSURANCE INC. | 0 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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.