No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMBLEMHEALTH EIN 11-3410766 MEDICAL CLAIMS PROCESSING | Direct payment from the plan; Claims processing Service code 12 | 55 WATER STREET NEW YORK, NY 100418190 | $525K |
| JM PENSION ADVISORY INC NONE | Direct payment from the plan; Consulting (general) Service code 16 | 3905 NATIONAL DR STE 375 BURTONSVILLE, MD 20866 | $168K |
| LAVETTE S. MORGAN-SMYER EIN 13-3505523 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 196-05 119TH AVENUE ST.ALBANS, NY 11412 | $68K |
| FORD & HARRISON LLP EIN 58-1314995 ATTORNEY | Legal; Direct payment from the plan Service code 29 | 100 PARK AVE S STE 2500 NEW YORK, NY 10017 | $64K |
| DANIEL H. COOK ASSOCIATES, INC. EIN 11-2424843 CLAIMS PROCESSING ADMINIS | Claims processing; Direct payment from the plan Service code 12 | 253 WEST 35TH ST 12TH FL NEW YORK, NY 10001 | $63K |
| COHEN WEISS & SIMON LLP EIN 13-1592323 ATTORNEY | Legal; Direct payment from the plan Service code 29 | 900 3RD AVE 21TH FL NEW YORK, NY 10022 | $62K |
| SHARI S. KRAVITZ EIN 13-3505523 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 2020 KIMBALL ST BROOKLYN, NY 11234 | $59K |
| ROGOFF & COMPANY P.C. EIN 13-2688836 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | 355 LEXINGTON AVE, 5TH FL NEW YORK, NY 10017 | $47K |
| SUMMIT ACTUARIAL SERVICES LLC EIN 20-3838633 ACTUARIAL | Actuarial; Direct payment from the plan Service code 11 | 123 PREAKNESS DRIVE MOUNT LAUREL, NJ 08054 | $36K |
| ANGELA TRUONG EIN 13-3505523 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 658 FLUSHING AVE 1 BROOKLYN, NY 11206 | $32K |
| JOSEPH F. HARNOS EIN 13-3505523 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 101 HARRIET RD NORTH BABYLON, NY 11703 | $28K |
| ACHRAF KAMEL EIN 13-3505523 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 146 PETRUS AVENUE STATEN ISLAND, NY 10312 | $24K |
| MARIA REYES DOMINGUEZ EIN 13-3505523 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 115 VERMILYEA AVENUE APT4D NEW YORK, NY 10034 | $19K |
| VITECH SYSTEMS GROUP INC EIN 13-3785492 BOOKKPING MANAGER | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 401 PARK AVE S 12TH FL NEW YORK, NY 10016 | $18K |
| SEGAL ADVISORS INC INVESTMENT ADVISOR | Investment advisory (plan); Direct payment from the plan Service code 27 | 333 WEST 34TH STREET 5TH FL NEW YORK, NY 10001 | $17K |
| INVESTCO TRUST COMPANY EIN 46-3793325 ADVISORY FEES | Investment management Service code 28 | 11 GREENWAY PLAZA HOUSTON, TX 77046 | $15K |
| CYNTHIA A LANG EIN 13-3505523 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 955 UNDERHILL AVE 2102 BRONX, NY 10473 | $7K |
| SIGIFREDO LOPEZ EIN 13-3505523 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 41-44 44TH STREET APT F12 SUNNYSIDE, NY 11104 | $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 | 1,123 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | UNITED STATES FIRE INSURANCE COMPANY | 1,279 | $756K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,279 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.