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 |
|---|---|---|---|
| MAGNACARE ADMINISTRATIVE SERVICES EIN 11-3410766 NONE | Claims processing Service code 12 | 1600 STEWART AVENUE WESTBURY, NY 11090 | $127K |
| DANIEL H. COOK ASSOCIATES, INC. EIN 11-2424843 NONE | Claims processing Service code 12 | 253 WEST 35TH ST 12TH FL NEW YORK, NY 10001 | $101K |
| ISMAEL TORRES EIN 13-3505523 EMPLOYEE | Employee (plan) Service code 30 | 420 WEST 45TH ST 5TH FL NEW YORK, NY 10036 | $86K |
| TAHIA KHALIL EIN 13-3505523 EMPLOYEE | Employee (plan) Service code 30 | 420 WEST 45TH ST 5TH FL NEW YORK, NY 10036 | $84K |
| CARY KANE LLP EIN 20-1942442 NONE | Legal Service code 29 | 1350 BROADWAY STE 1400 NEW YORK, NY 10018 | $80K |
| LAVETTE MORGAN-SMYER EIN 13-3505523 EMPLOYEE | Employee (plan) Service code 30 | 420 WEST 45TH ST 5TH FL NEW YORK, NY 10036 | $60K |
| SHARI KRAVITZ EIN 13-3505523 EMPLOYEE | Employee (plan) Service code 30 | 420 WEST 45TH ST 5TH FL NEW YORK, NY 10036 | $51K |
| FITZSIMMONS ABRAMS, LLP EIN 13-2858927 NONE | Accounting (including auditing) Service code 10 | 7600 JERICHO TPKE STE 403 WOODBURY, NY 11797 | $50K |
| PROCARE PHARMACY BENEFIT MGR INC EIN 58-2422694 NONE | Claims processing Service code 12 | 3090 PREMIERE PKWY DULUTH, GA 30094 | $50K |
| VAL EDWARDS EIN 13-3505523 EMPLOYEE | Employee (plan) Service code 30 | 420 WEST 45TH ST 5TH FL NEW YORK, NY 10036 | $41K |
| CHUNG HOK LEUNG EIN 13-3505523 EMPLOYEE | Employee (plan) Service code 30 | 420 WEST 45TH STREET NEW YORK, NY 10036 | $41K |
| SUMMIT ACTUARIAL SERVICES LLC EIN 20-3838633 NONE | Actuarial Service code 11 | 123 PREAKNESS DRIVE MOUNT LAUREL, NJ 08054 | $36K |
| LUISA SIERRA EIN 13-3505523 EMPLOYEE | Employee (plan) Service code 30 | 420 WEST 45TH ST 5TH FL NEW YORK, NY 10036 | $36K |
| FORD & HARRISON, LLP EIN 58-1314995 NONE | Legal Service code 29 | 100 PARK AVE S. STE 2500 NEW YORK, NY 10017 | $32K |
| ACHRAF KAMEL EIN 13-3505523 EMPLOYEE | Employee (plan) Service code 30 | 420 WEST 45TH ST 5TH FL NEW YORK, NY 10036 | $30K |
| CYNTHIA LANG EIN 13-3505523 EMPLOYEE | Employee (plan) Service code 30 | 420 WEST 45TH STREET NEW YORK, NY 10036 | $27K |
| ANGELA TRUONG EIN 13-3505523 EMPLOYEE | Employee (plan) Service code 30 | 420 W 45TH STREET 5TH FL NEW YORK, NY 10036 | $27K |
| SEGAL ADVISORS INC EIN 13-2646110 NONE | Investment advisory (plan) Service code 27 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $20K |
| INVESCO TRUST COMPANY EIN 46-3793325 NONE | Investment management Service code 28 | 11 GREENWAY PLAZA HOUSTON, TX 77046 | $17K |
| VITECH SYSTEMS GROUP INC EIN 13-3785492 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 401 PARK AVE S 12TH FL NEW YORK, NY 10016 | $7K |
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 | 6,021 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,021 | 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.