| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 | 333 WEST 34TH ST NEW YORK, NY 10001 | THE UNION LABOR LIFE INSURANCE COMPANY | $97K | — | $97K | 2.23% |
| CONTEMPORARY STRATEGIC SOLUTIONS3 | 19 WILLOW LANE SPRING LAKES HEIGHTS, NJ 07762 | THE UNION LABOR LIFE INSURANCE COMPANY | $87K | — | $87K | 2.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC. EIN 33-0441200 NONE | Direct payment from the plan; Other fees; Float revenue; Claims processing Service code 12 | — | $17.8M |
| ANTHEM BLUE CROSS EIN 23-7391136 NONE | Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing Service code 12 | — | $1.8M |
| COMPREHENSIVE PROFESSIONAL SYS. INC EIN 13-3025997 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $382K |
| THE SEGAL COMPANY EIN 06-0839113 NONE | Insurance agents and brokers; Actuarial; Insurance brokerage commissions and fees; Other commissions; Direct payment from the plan; Non-monetary compensation Service code 11 | — | $181K |
| DONNA OWENS EIN 13-2873303 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $180K |
| THE OPTIMUMU, LLC NONE | Direct payment from the plan; Claims processing Service code 12 | 1991 SMITH STREET 200 MERRICK, NY 11566 | $170K |
| MARSHALL & MOSS PAYROLL COMPLIANCE EIN 04-3652965 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $146K |
| DARREN TURTON EIN 13-2873303 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $127K |
| GAIL DISALVO EIN 13-2873303 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $117K |
| STARFIRE PRINTING NONE | Direct payment from the plan; Other fees Service code 50 | 751 COATES AVE N 31 HOLBROOK, NY 11741 | $93K |
| BARNES,IACCARINO & SHEPHERD, LLC EIN 43-1995226 NONE | Legal; Direct payment from the plan Service code 29 | — | $87K |
| MARYANN PESA EIN 13-2873303 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $86K |
| TAYLOR MOROSKY EIN 13-2873303 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| ELISA RODRIGUEZ EIN 13-2873303 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $72K |
| BRIGID AHERN EIN 13-2873303 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $65K |
| NORTHWELL HEALTH EIN 11-3418133 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $65K |
| GENERAL VISION SERVICES, LLC EIN 11-3580576 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $58K |
| COMPREHENSIVE HEALTHCARE SYSTEMS IN EIN 47-4496373 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $55K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $53K |
| INNER IMAGING, PC NONE | Direct payment from the plan; Claims processing Service code 12 | 164 E 84TH ST NEW YORK, NY 10028 | $43K |
| WHITESTAR ADVISORS LLC EIN 03-0496641 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $39K |
| CHRISTINE CALLAHAN EIN 13-2873303 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $34K |
| AGNES DOWNES EIN 13-2873303 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $30K |
| FRANK GREENBERG EIN 13-2873303 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $30K |
| SEGAL MARCO ADVISORS INC EIN 13-2646110 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $30K |
| DYNAMIX GROUP, INC. EIN 58-2195960 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $28K |
| AMALGAMATED BANK EIN 13-4920330 NONE | Custodial (securities); Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 19 | — | $26K |
| MARSHALL & MOSS, LLP EIN 11-3360166 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $26K |
| HEALTHPLEX EIN 11-2714365 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $22K |
| VISION SCREENING INC. EIN 11-2358021 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $21K |
| UNITED HEALTHCARE INSURANCE CO. EIN 41-2014834 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $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 | 2,871 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 153 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,024 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DENTCARE DELIVERY SYSTEMS | 12,698 | $10K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 2,830 | $763K |
| Short-term disability | THE UNION LABOR LIFE INSURANCE COMPANY | 2,830 | $763K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 2,971 | $4.3M |
| Other(2 contracts) | THE UNION LABOR LIFE INSURANCE COMPANY | 2,830 | $923K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 12,698 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.