| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY | 333 WEST 34TH STREET NEW YORK, NY 10001 | NATIONAL UNION FIRE INSURANCE COMPANY | $32K | — | $32K | 2.64% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 23-7391136 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Contract Administrator; Float revenue Service code 12 | — | $1.6M |
| METROPOLITAN MANAGEMENT SERVICES EIN 45-3845437 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 13 | — | $711K |
| CIGNA EIN 06-1059331 NONE | Other services; Participant communication; Direct payment from the plan; Claims processing; Float revenue; Contract Administrator Service code 12 | — | $224K |
| DONNA OWENS EIN 13-2873303 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $155K |
| VERSANT HEALTH (DAVIS VISION) EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $125K |
| MICHAEL SPILLANE EIN 13-2873303 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $115K |
| THE SEGAL COMPANY EIN 06-0839113 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $80K |
| MARSHALL & MOSS PAYROLL COMPLIANCE EIN 04-3652965 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $68K |
| HEALTHPLEX EIN 11-2714365 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $60K |
| GENERAL VISION SERVICES, LLC EIN 11-3580576 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $59K |
| BARNES,IACCARINO & SHEPHERD, LLC EIN 43-1995226 NONE | Legal; Direct payment from the plan Service code 29 | — | $58K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $53K |
| STARFIRE PRINTING NONE | Other fees; Direct payment from the plan Service code 50 | 751 COATES AVE N 31 HOLBROOK, NY 11741 | $46K |
| MARSHALL & MOSS, LLP EIN 11-3360166 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $44K |
| VISION SCREENING INC. EIN 11-2358021 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $42K |
| WHITESTAR ADVISORS LLC EIN 03-0496641 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $31K |
| SEGAL ADVISORS INC EIN 13-2646110 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $30K |
| BRIGID WEINGARTNER EIN 13-2873303 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $30K |
| AMALGAMATED BANK EIN 13-4920330 NONE | Investment management fees paid indirectly by plan; Custodial (securities); Investment management fees paid directly by plan Service code 19 | — | $25K |
| NORTH SHORE UNIVERSITY HOSPITAL EIN 11-1562701 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $24K |
| COMPREHENSIVE PROFESSIONAL SYS. INC EIN 13-3025997 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $21K |
| HEALTH PLAN SYSTEMS INC. NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 2025 LINCOLN HIGHWAY, STATE RTE 27 EDISON, NJ 08817 | $20K |
| MARTIN ROSS NONE | Consulting (general); Direct payment from the plan Service code 16 | 72 STRATFORD COURT FARMINGDALE, NY 11735 | $16K |
| INNER IMAGING, PC NONE | Claims processing; Direct payment from the plan Service code 12 | 307 E. 63RD STREET NEW YORK, NY 10065 | $11K |
| DDS, INC. EIN 11-2705347 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $8K |
| ROGER E. MAHER NONE | Legal; Direct payment from the plan Service code 29 | 23 83RD STREET BROOKLYN, NY 11209 | $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 | 2,418 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 123 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,541 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 2,422 | $747K |
| Short-term disability | THE UNION LABOR LIFE INSURANCE COMPANY | 2,422 | $747K |
| Stop-loss / reinsurancereinsurance(3 contracts, 3 carriers) | NATIONAL UNION FIRE INSURANCE COMPANY | 5,872 | $1.9M |
| Other(2 contracts) | THE UNION LABOR LIFE INSURANCE COMPANY | 2,422 | $210K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,872 | — |
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."
No prospect flags tripped on this filing.