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 |
|---|---|---|---|
| AMERICAN LEGAL SERVICE EIN 42-1411337 ADMINISTRATOR | Direct payment from the plan; Claims processing Service code 12 | — | $688K |
| NYHTC - HEALTH CENTER, INC. EIN 13-1595091 RELATED ENTITY | Employee (plan); Direct payment from the plan Service code 30 | 305 WEST 44TH STREET NEW YORK, NY 10036 | $373K |
| NYHTC - HEALTH BENEFITS FUND EIN 13-6126923 RELATED ENTITY | Employee (plan); Direct payment from the plan Service code 30 | 305 WEST 44TH STREET NEW YORK, NY 10036 | $69K |
| ELLENOFF GROSSMAN & SCHOLE LLP ATTORNEY | Legal; Direct payment from the plan Service code 29 | 1345 AVENUE OF AMERICAS NEW YORK, NY 10105 | $64K |
| PITTA LLP EIN 26-3852082 ATTORNEY | Legal; Direct payment from the plan Service code 29 | 120 BROADWAY, 28TH FLOOR NEW YORK, NY 10271 | $46K |
| HACELS LLC LANDLORD | Other services; Direct payment from the plan Service code 49 | 709 EIGHTH AVENUE NEW YORK, NY 10016 | $33K |
| THE SEGAL CO. EIN 13-1835864 ACTUARY | Direct payment from the plan; Actuarial Service code 11 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $11K |
| MORGAN STANLEY INV MGR | Investment management; Investment management fees paid directly by plan Service code 28 | 1300 THAMES STREET WHARF BALTIMORE, MD 212319907 | $11K |
| MSPC EIN 22-2951202 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | 340 NORTH AVE CRANFORD, NJ 07016 | $10K |
| NORTHERN TRUST INV MGR | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | 40 W 57TH STREET NEW YORK, NY 10019 | $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 | 30,032 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 30,032 | 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."
No prospect flags tripped on this filing.