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 |
|---|---|---|---|
| COLLINS BUILDING SERVICES, INC. EIN 51-0312606 NONE | Direct payment from the plan; Other services Service code 49 | — | $240K |
| BRENNAN, SEAN EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $226K |
| WARRINGTON, TIMOTHY EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $170K |
| CLARITY TESTING SERVICES, INC. EIN 13-3869722 NONE | Other services; Direct payment from the plan Service code 49 | — | $166K |
| WEBB, WENDY EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $140K |
| MELTON, DAVID EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $128K |
| SIKORA, KAZIMIERZ EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $122K |
| ROLDAN, JORGE EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $121K |
| TULLY, PAUL EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $112K |
| CULPEPPER, CHRISTINE EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $112K |
| COSTA, LEONARD EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $112K |
| GALAZKA, ZYGMUNT EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $108K |
| BRACKEN, KEVIN P EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $108K |
| ORTEGA, CARLOS EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $102K |
| MARS, DOROTA EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $102K |
| FLOREZ, RUBEN EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $101K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $94K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $73K |
| RESTREPO, MONICA EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $69K |
| CORDOVA, MARIA EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $64K |
| ROSERO, CAROLINA EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $54K |
| BAZYLCEYK-BIELUCH, ANNA EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $49K |
| MORALES, YASMIN EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $48K |
| MARTI, LUIS R. EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $47K |
| COCHRANE, EBONEE EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $45K |
| CHROSTOWSKI, EMILIA EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $42K |
| COLON, MARIBEL EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $39K |
| BP AIR CONDITIONING, CORP. EIN 13-2958608 NONE | Other services; Direct payment from the plan Service code 49 | — | $39K |
| RODRIGUEZ, APRIL EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $38K |
| CORONA, MARIA EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $35K |
| CHANLATTE, MASSIEL EIN 13-3458660 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $35K |
| DRUIETT, JOHN PAUL EIN 13-3458660 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $33K |
| CONTENT CRITICAL SOLUTIONS, INC. EIN 46-3524763 NONE | Direct payment from the plan; Other services Service code 49 | — | $27K |
| STATE STREET GLOBAL ADVISORS EIN 81-4017137 NONE | Custodial (other than securities); Investment management fees paid directly by plan; Custodial (securities) Service code 18 | — | $25K |
| GORLICK, KRAVITZ & LISTHUAS, P.C. EIN 13-3790829 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $24K |
| AVITAR SOLUTIONS, INC. EIN 11-3622054 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $21K |
| GALLAGHER FIDUCIARY ADVISORS, LLC EIN 36-4291971 NONE | Other services; Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $19K |
| INTERNATIONAL SCHOLARSHIP & TUITION EIN 62-1247492 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $12K |
| ALLIED SYSTEM INTEGRATORS, INC. EIN 11-3622037 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $9K |
| CROSS FIRE & SECURITY CO, INC. NONE | Other services; Direct payment from the plan Service code 49 | 1759 86TH STREET BROOKLYN, NY 11214 | $8K |
| FILCO CARTING CORP. EIN 11-2913394 NONE | Other services; Direct payment from the plan Service code 49 | — | $8K |
| HEALTH CORPORATE MEDICAL SERVICES NONE | Direct payment from the plan; Other services Service code 49 | 7301 GRAND AVE MASPETH, NY 11378 | $8K |
| SCHINDLER ELEVATOR CORPORATION EIN 34-1270056 NONE | Other services; Direct payment from the plan Service code 49 | — | $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 | 10,944 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 10,944 | 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.