No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LOCAL 95 WELFARE FUND EIN 13-3819669 NONE | Plan Administrator Service code 14 | — | $124K |
| EMPIRE HEALTH CHOICE ASSURANCE, INC EIN 23-7391136 NONE | Float revenue; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $106K |
| HO MING LAI EIN 13-2659322 NONE | Employee (plan) Service code 30 | — | $68K |
| EPIPHANY RX, LLC EIN 36-4855405 NONE | Claims processing Service code 12 | — | $67K |
| WEAVER & TIDWELL, LLP EIN 75-0786316 NONE | Accounting (including auditing) Service code 10 | — | $40K |
| MERRILL LYNCH EIN 13-5674085 NONE | Investment management; Investment management fees paid directly by plan; Valuation (appraisals, etc.); Direct payment from the plan Service code 28 | — | $36K |
| SUMMIT ACTUARIAL SERVICES LLC EIN 20-3838633 NONE | Actuarial Service code 11 | — | $24K |
| BRIDGEWAY BENEFIT (FORMERLY ISSI) EIN 23-2182079 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $15K |
| ARCHER, BYINGTON, GLENNON & LEVINE EIN 26-0873462 NONE | Legal Service code 29 | — | $15K |
| LOCKTIGHT SOLUTIONS, INC. NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 11 RIDGE ROAD CRESSKILL, NJ 07626 | $6K |
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 | 438 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 454 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 350 | $123K |
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 434 | $18K |
| Stop-loss / reinsurancereinsurance | NIAGARA LIFE & HEALTH INSURANCE COMPANY | 434 | $440K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 434 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.