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 | — | $37.8M |
| DELTA DENTAL NONE | Direct payment from the plan; Contract Administrator Service code 13 | PO BOX 2105 MECHANICSBURG, PA 17055 | $2.7M |
| INDEPENDENCE BLUE CROSS NONE | Contract Administrator; Direct payment from the plan Service code 13 | 1901 MARKET STREET PHILADELPHIA, PA 19103 | $2.4M |
| SCHULTHEIS AND PANETTIERI LLP EIN 13-1577780 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $1.5M |
| VITECH SYSTEMS GROUP EIN 13-3785492 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $1.4M |
| CVS CAREMARK CORP EIN 05-0494040 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $1.2M |
| RAAB STURM AND GANCHROW EIN 13-1566077 NONE | Legal; Direct payment from the plan Service code 29 | — | $999K |
| H AND H GRAPHIC PRINTING COMMUNICAT EIN 06-1648637 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $952K |
| PROSKAUER ROSE EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $730K |
| STATE STREET GLOBAL ADVISORS EIN 81-4017137 NONE | Investment management fees paid directly by plan; Investment management; Custodial (other than securities); Custodial (securities); Investment management fees paid indirectly by plan Service code 18 | — | $310K |
| DASCOLI, ANGELO EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $244K |
| SEGAL COMPANY EIN 13-1835864 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $234K |
| ROTHSTEIN, SARA EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $211K |
| ZAGAR, MATTHEW N EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $198K |
| PRICEWATERHOUSECOOPERS LLP EIN 13-4008324 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $193K |
| CRAWFORD, CONNIE EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $192K |
| MASON, MARGARET K EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $189K |
| ORMSBY, THOMAS EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $187K |
| GOLDBERGER, PETER EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $182K |
| SYED, ASMAT EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $180K |
| GANDLER, RACHEL EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $179K |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $177K |
| THE BACHRACH GROUP LTD NONE | Other services; Direct payment from the plan Service code 49 | 39 WEST 37TH ST 5TH FLOOR NEW YORK, NY 10018 | $177K |
| LSV ASSET MANAGEMENT EIN 23-2772200 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $174K |
| SIMOCA, MARIANA EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $173K |
| LITWIN, ADAM EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $173K |
| MANOHAR, VANESSA EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $172K |
| CLAIMS TECHNOLOGIES INCORPORATED NONE | Consulting (general); Direct payment from the plan Service code 16 | 100 COURT AVENUE SUITE 306 DES MOINES, IA 50309 | $170K |
| RIMKUS, UTA EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $167K |
| TOOMEY, KEVIN J EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $163K |
| POMMELLS, ELAINE EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $156K |
| FARBER, RANDI S EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $156K |
| HAN, JESSIE EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $148K |
| KHER, GEET EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $142K |
| LAVERTY, JR ROY H EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $141K |
| BHATTACHAN, SACHI EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $140K |
| BITA, SORINA EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $139K |
| KESAVAN, JAYASREE EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $138K |
| CONCIATORI, LAURA EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $136K |
| LANGER, ALAN D EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $135K |
| ROSARIO, KRYSTYNA EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $134K |
| MCCULLOUGH, CAROLYN V EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $133K |
| MOUNT VERNON PRINTING COMPANY EIN 52-1193840 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $133K |
| FERNANDEZ, MARIALYS EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $132K |
| GAPINSKA, MALGORZATA EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $132K |
| GALDRI, ALBERTA EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $131K |
| MILMAN, SOFIA EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $130K |
| OLIVO, JEANNIE EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $129K |
| SEIDEN, ANDREW EIN 13-2928869 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $126K |
| JONES, LASHANA EIN 13-2928869 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $126K |
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 | 111,705 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,783 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 114,488 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 113,463 | $9.6M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 113,463 | $9.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 113,463 | — |
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.