No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BASIL CASTROVINVI ASSOC EIN 13-2831500 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $585K |
| CASTIGLIA, LLP EIN 46-2725636 NONE | Direct payment from the plan; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $133K |
| ROTHMAN ROCCO LARUFFA LLP NONE | Legal; Direct payment from the plan Service code 29 | 3 WEST MAIN STREET, SUITE ELMSFORD, NY 10523 | $78K |
| MULTIPLAN INC EIN 13-3068979 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $61K |
| BASIL CASTROVINCI ASSOC. EIN 13-2831500 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $52K |
| AETNA | Direct payment from the plan; Contract Administrator Service code 13 | PO BOX 981106 EL PASO, TX 799981106 | $31K |
| GENERAL PRESCRIPTION EIN 13-3271051 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $23K |
| AMALGAMATED BANK EIN 13-4920330 NONE | Direct payment from the plan; Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $17K |
| SYNTONIC SYSTEMS, INC. NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 111 JOHN STREET NEW YORK, NY 10011 | $14K |
| LAKESHORE BENEFIT GROUP NONE | Consulting (general); Direct payment from the plan Service code 16 | 301 ALBANY TURNPIKE CANTON, CT 06019 | $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 | 1,495 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,495 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.