No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE INSURANCE INC EIN 23-7391136 NONE | Float revenue; Claims processing; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Contract Administrator Service code 12 | 165 BROADWAY NEW YORK, NY 10006 | $1.4M |
| O'DWYER BERNSTIEN LLP EIN 13-5286665 NONE | Direct payment from the plan; Legal; Plan Administrator Service code 14 | 54 DUAN STREET NEW YORK, NY 10007 | $230K |
| ZACHARY HARKIN, ESQ 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 | $217K |
| LITTLER MENDELSON PC EIN 94-2602731 NONE | Direct payment from the plan; Legal Service code 29 | 290 BROADHOLLOW RD 305 MELVILLE, NY 11747 | $190K |
| GARY HAHN 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 | $118K |
| 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 | $100K |
| 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 | $95K |
| MARYANN FALCE 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 | $95K |
| JOAN SULAY 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 | $79K |
| TECHFORMATIVE INC. EIN 61-1582594 NONE | Direct payment from the plan; Other fees Service code 50 | 5708 WINDLESTRAW DR ST23 DURHAM, NC 27713 | $73K |
| PRINCIPAL ENHANCED PROPERTY FUND LP EIN 20-0928198 NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | 801 GRAND AVENUE G-17 DES MONIES, IA 50309 | $69K |
| CYBER CLARITY INC. EIN 45-2528225 NONE | Other fees; Direct payment from the plan Service code 50 | 15722 RYDER CT. HAYMARKER, VA 20169 | $65K |
| 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 |
| 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 | $58K |
| CATHERINE WENZELL 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 | $55K |
| MARIA DIAZ 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 | $55K |
| BOYD WATTERSON ASSET MANAGEMENT LLC EIN 34-1922005 NONE | Investment management fees paid indirectly by plan Service code 52 | 1801 E. 9TH ST, STE 1400 CLEVLAND, OH 44114 | $51K |
| VANESSA BARBOSA 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 | $40K |
| 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 | $40K |
| CPS DENTAL EIN 13-3541700 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | 11 HANOVER SQ, 8TH FLOOR NEW YORK, NY 10005 | $40K |
| DAVID NIGAI 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 |
| WAGE WORKS INC EIN 94-3351864 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | 1000 PARK PLACE, 4TH FL SAN MATEO, CA 94403 | $25K |
| CORY CAPITAL ADVISORS LLC EIN 26-0510274 NONE | Other investment fees and expenses; Investment management; Investment management fees paid indirectly by plan Service code 28 | ONE WORLD TRADE CENTER NEW YORK, NY 10007 | $23K |
| EXPRESS SCRIPTS (MEDCO) EIN 22-3461740 NONE | Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | 100 PARSON POND DR FRANKLIN LAKES, NJ 07417 | $19K |
| 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 | $11K |
| CPS OPTICAL EIN 13-3025997 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | 11 HANOVER SQ, 8TH FLOOR NEW YORK, NY 10005 | $9K |
| INGENIO RX INC EIN 82-3062245 | Contract Administrator; Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | 165 BROADWAY NEW YORK, NY 10006 | $5K |
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 | 2,169 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,169 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 2,963 | $427K |
| Vision(2 contracts) | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 2,963 | $427K |
| Life insurance | ANTHEM LIFE & DISABILITY INSURANCE CO | 2,174 | $121K |
| Stop-loss / reinsurancereinsurance(2 contracts) | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 2,963 | $427K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,963 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.