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 |
|---|---|---|---|
| AR ENVIRONETICS ARCHITECTS EIN 27-1589770 NONE | Consulting fees; Direct payment from the plan Service code 50 | — | $429K |
| COLLINS BUILDING SERVICES, INC. EIN 51-0312606 NONE | Direct payment from the plan; Other services Service code 49 | — | $237K |
| BRENNAN, SEAN EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $216K |
| CAMERON ENGINEERING ASSOCIATES EIN 80-0857408 NONE | Direct payment from the plan; Other services Service code 49 | — | $211K |
| TURNER TOWNSEND EIN 98-0437541 NONE | Direct payment from the plan; Other services Service code 49 | — | $195K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $170K |
| WARRINGTON, TIMOTHY EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $162K |
| WEBB, WENDY EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $136K |
| ROLDAN, JORGE EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $128K |
| MELTON, DAVID EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $125K |
| SIKORA, KAZIMIERZ EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $118K |
| CULPEPPER, CHRISTINE EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $109K |
| COSTA, LEONARD EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $108K |
| TULLY, PAUL EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $107K |
| GALAZKA, ZYGMUNT EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $102K |
| BRACKEN, KEVIN P EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $102K |
| ORTEGA, CARLOS EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $99K |
| FLOREZ, RUBEN EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $99K |
| MARS, DOROTA EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $98K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $98K |
| CLARITY TESTING SERVICES, INC. EIN 13-3869722 NONE | Direct payment from the plan; Other services Service code 49 | — | $91K |
| CHIARELLO, ANTHONY EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $69K |
| RESTREPO, MONICA EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $67K |
| GALLAGHER FIDUCIARY ADVISORS, LLC EIN 36-4291971 NONE | Direct payment from the plan; Other services; Investment advisory (plan) Service code 27 | — | $64K |
| CORDOVA, MARIA EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $61K |
| ROSERO, CAROLINA EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $53K |
| BAZYLCEYK-BIELUCH, ANNA EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $47K |
| MARTI, LUIS R EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $43K |
| MORALES, YASMIN EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $42K |
| CHROSTOWSKI, EMILIA EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $39K |
| RODRIGUEZ, APRIL EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $35K |
| CHANLATTE, MASSIEL EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $33K |
| GORLICK, KRAVITZ & LISTHAUS PC EIN 13-3790829 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $32K |
| BP AIR CONDITIONING CORP. EIN 13-2958608 NONE | Other services; Direct payment from the plan Service code 49 | — | $31K |
| CONTENT CRITICAL SOLUTIONS, INC. EIN 42-3524763 NONE | Direct payment from the plan; Other services Service code 49 | — | $31K |
| DRUIETT, JOHN PAUL EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $30K |
| LONGMAN LINDSEY EIN 46-2971745 NONE | Consulting fees; Direct payment from the plan Service code 50 | — | $29K |
| CORONA, MARIA EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $28K |
| STATE STREET GLOBAL ADVISORS EIN 81-4017137 NONE | Custodial (securities); Custodial (other than securities); Investment management fees paid directly by plan Service code 18 | — | $25K |
| AVITAR SOLUTIONS, INC EIN 11-3622054 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $21K |
| AURORA CONTRACTORS, INC. EIN 11-2638171 NONE | Direct payment from the plan; Consulting fees Service code 50 | — | $18K |
| BOCA GROUP, EAST, LLC EIN 13-4249611 NONE | Direct payment from the plan; Consulting fees Service code 50 | — | $16K |
| MILROSE CONSULTANTS, INC. EIN 11-3039923 NONE | Other services; Direct payment from the plan Service code 49 | — | $16K |
| INTERNATIONAL SCHOLARSHIP & TUITION EIN 62-1247492 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $12K |
| ALLIED SYSTEM INTEGRATORS, INC. EIN 11-3622037 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $11K |
| CQ FLUENCY, INC. EIN 31-0102982 NONE | Direct payment from the plan; Other services Service code 49 | — | $11K |
| HEALTHCOR CORPORATE MEDICAL SVCS NONE | Direct payment from the plan; Consulting (general) Service code 16 | 73-01 GRAND AVE MASPETH, NY 11378 | $10K |
| FILCO CARTING CORP. NONE | Direct payment from the plan; Other services Service code 49 | 197 SNEDIKER AVE BROOKLYN, NY 11207 | $8K |
| MTA NEW YORK CITY TRANSIT EIN 11-6002815 NONE | Direct payment from the plan; Other services Service code 49 | — | $6K |
| STE SERVICES NONE | Consulting fees; Direct payment from the plan Service code 50 | 30 FURNACE TRAIL GREENWOOD LAKE, NY 10925 | $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 | 10,367 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,176 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 14,543 | 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.