No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Other services; Claims processing; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $788K |
| COHEN WEISS AND SIMON LLP NONE | Legal; Direct payment from the plan Service code 29 | 900 THIRD AVENUE NEW YORK, NY 10022 | $260K |
| SITARA N HINES EIN 13-2878811 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $100K |
| PROSKAUR ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $95K |
| FITZSIMMONS ABRAMS, LLP EIN 13-2858927 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $89K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $79K |
| ALEX A BONILLA EIN 13-2878811 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| SYLVIA REYES EIN 13-2878811 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $53K |
| CLAUDINE D KAY EIN 13-2878811 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $48K |
| SHIRELL R BAKER EIN 13-2878811 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $47K |
| JENNIFER GARCIA EIN 13-2878811 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $47K |
| CALIBRE CPA GROUP PLLC EIN 47-0900880 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $36K |
| LLOYD SOMER NONE | Legal; Direct payment from the plan Service code 29 | 330 7TH AVENUE NEW YORK, NY 10001 | $25K |
| ROGER E MAHER NONE | Legal; Direct payment from the plan Service code 29 | 23 83RD STREET BROOKLYN, NY 11209 | $16K |
| BMO ASSET MANAGEMENT NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 115 S. LASALLE, 11TH FLOOR CHICAGO, IL 60603 | $15K |
| NATHAN & BERNSTEIN CPA, P.C. EIN 26-4717217 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $12K |
| REYNOLDS CONSULTING SERVICES, LLC EIN 20-1899564 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $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 | 1,102 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 246 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,348 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Long-term disability | AETNA LIFE INSURANCE COMPANY | 1,506 | $166K |
| Stop-loss / reinsurancereinsurance | U.S. FIRE INSURANCE COMPANY | 1,716 | $941K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,716 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.