No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DOCTORS COUNCIL EIN 13-2934154 RELATED LABOR UNION | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 50 BROADWAY NEW YORK, NY 10004 | $208K |
| PRYOR CASHMAN LLP EIN 13-1859294 UNION'S ATTORNEY | Legal Service code 29 | 7 TIMES SQUARE NEW YORK, NY 10036 | $153K |
| DOCTORS COUNCIL WELFARE PLAN EIN 13-2938751 RELATED BENEFIT PLAN | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 50 BROADWAY NEW YORK, NY 10004 | $126K |
| ADMINISTRATIVE SERVICES ONLY INC. EIN 11-2995970 NONE | Contract Administrator; Claims processing Service code 12 | 303 MERRICK ROAD LYNBROOK, NY 11563 | $90K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial; Consulting (general) Service code 11 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $46K |
| STACEY BRAUN ASSOCIATES INC. EIN 13-2889432 NONE | Investment management Service code 28 | 377 BROADWAY NEW YORK, NY 10013 | $43K |
| GOULD KOBRICK & SCHLAPP PC EIN 13-3082707 UNION'S AUDITOR | Accounting (including auditing) Service code 10 | 192 LEXINGTON AVENUE 7TH FLOOR NEW YORK, NY 10016 | $21K |
| DANIEL JELINSKY UNION'S ACCOUNTANT | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 50 BROADWAY NEW YORK, NY 10004 | $8K |
| KOBGO ASSOCIATES, INC. EIN 13-2751089 NONE | Accounting (including auditing) Service code 10 | — | $6K |
| SEGAL SELECT INSURANCE SERVICES INC EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $5K |
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 | 1,641 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 17 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,658 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.