No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE BLUE CROSS BLUE SHIELD EIN 23-7391136 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $31.3M |
| INDEPENDENCE BLUE CROSS NONE | Direct payment from the plan; Contract Administrator Service code 13 | 1901 MARKET STREET PHILADELPHIA, PA 19103 | $2.9M |
| VITECH SYSTEMS GROUP EIN 13-3785492 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $2.1M |
| ADMINISTRATIVE SERVICES ONLY EIN 11-2995970 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.6M |
| PROSKAUER ROSE EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $1.4M |
| SCHULTHEIS & PANETTIERI LLP EIN 13-6841620 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $1.2M |
| RAAB,STURM & GANCHROW EIN 13-1566077 NONE | Legal; Direct payment from the plan Service code 29 | — | $1.1M |
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 06-0303370 NONE | Participant communication; Float revenue; Claims processing; Other services; Contract Administrator; Direct payment from the plan Service code 12 | — | $823K |
| H & H GRAPHIC PRINTING COMMUNICATIO EIN 06-1648637 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $797K |
| CVS CAREMARK CORP EIN 05-0494040 NONE | Direct payment from the plan; Plan Administrator Service code 14 | — | $642K |
| SEGAL COMPANY EIN 13-1835864 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $264K |
| DASCOLI, ANGELO EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $259K |
| STATE STREET GLOBAL ADVISORS EIN 20-0159660 NONE | Soft dollars commissions; Investment management fees paid indirectly by plan; Custodial (other than securities); Investment management; Direct payment from the plan; Custodial (securities); Investment management fees paid directly by plan Service code 18 | — | $250K |
| THE BOARD OF TRUSTEES OF THE LELAND EIN 94-1156365 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $200K |
| ZAGAR, MATTHEW EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $190K |
| CRAWFORD, CONNIE EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $187K |
| PAULS, LUCAS EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $185K |
| MASON, MARGARET EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $182K |
| KESAVAN, JAYASREE EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $181K |
| SYED, ASMAT EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $180K |
| ZACHARIA, NIA EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $178K |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $177K |
| SIMOCA, MARIANA EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $177K |
| BEDIAKO, MARIA EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $175K |
| OLIVO, JEANNIE EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $174K |
| COWELL, SUSAN EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $174K |
| CANIZARES, CHRISTOPHER EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $171K |
| MANOHAR, VANESSA EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $169K |
| CALIBRE CPA GROUP EIN 47-0900880 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $169K |
| ORMSBY, THOMAS EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $167K |
| LEVEL 3 COMMUNICATIONS LLC NONE | Direct payment from the plan; Other services Service code 49 | 1025 ELDORADO BLVD. BROOMFIELD, CO 80021 | $164K |
| RIMKUS, UTA EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $158K |
| FARBER, RANDI EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $157K |
| GOLDBERGER, PETER EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $157K |
| HAN, JESSIE EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $155K |
| LITWIN, ADAM EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $153K |
| GONZALEZ, LAZARO EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $152K |
| BOND BEEBE EIN 52-1044197 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $146K |
| TOOMEY, KEVIN EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $145K |
| CLAIMS TECHNOLOGIES INCORPORATED NONE | Direct payment from the plan; Consulting (general) Service code 16 | 100 COURT AVENUE SUITE 306 DES MOINES, IA 50309 | $144K |
| MILMAN, SOFIA EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $143K |
| LAVERTY JR, ROY EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $139K |
| PROMPT PERSONNEL ASSOCIATES NONE | Direct payment from the plan; Consulting fees Service code 50 | 295 MADISON AVE. 1ST FLOOR NEW YORK, NY 10017 | $137K |
| MATTHES JR, JOHN JAMES EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $137K |
| GANDLER, RACHEL EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $133K |
| HAMARICH, PETER EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $131K |
| EUSSE, JUAN EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $128K |
| ROSARIO, KRYSTYNA EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $128K |
| GAPINSKA, MALGORZATA EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $126K |
| CONCIATORI, LAURA EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $122K |
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 | 105,128 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,375 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 106,503 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 102,950 | $9.4M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 102,950 | $9.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 102,950 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.