No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 23-7391136 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services; Other fees; Claims processing; Plan Administrator Service code 12 | 3350 PEACHTREE ROAD ATLANTA, GA 30326 | $226K |
| KAREN BRENNAN EIN 13-1758289 EMPLOYEE | Employee (plan) Service code 30 | P.O BOX 58 MOUNTAINVILLE, NY 10953 | $39K |
| MARVIN AND COMPANY, PC EIN 14-1567343 NONE | Accounting (including auditing) Service code 10 | 11 BRITISH AMERICAN BLVD LATHAM, NY 12110 | $34K |
| BOLTON PARTNERS NORTHEAST, INC. EIN 22-3502478 NONE | Actuarial Service code 11 | 9000 MIDLANTIC DRIVE SUITE 100 MT LAUREL, NJ 08054 | $25K |
| LABOR FIRST EIN 06-1750191 NONE | Contract Administrator Service code 13 | 300 MIDLANTIC DRIVE SUITE 101 MOUNT LAUREL, NJ 08054 | $22K |
| LOWER HUDSON VALLEY E.A.P. EIN 13-3240307 NONE | Other services Service code 49 | 3505 HILL BOULEVARD - SUITE A YORKTOWN HEIGHTS, NY 105981283 | $20K |
| STACEY BRAUN ASSOCIATES, INC EIN 13-2889432 NONE | Investment management; Soft dollars commissions Service code 28 | 377 BROADWAY NEW YORK, NY 10013 | $19K |
| SUMMIT ACTUARIAL SERVICES LLC EIN 77-0645890 NONE | Consulting (general) Service code 16 | 11 RACQUET ROAD NEWBURGH, NY 12550 | $19K |
| M & T BANK EIN 16-0538020 NONE | Investment advisory (plan); Custodial (securities) Service code 19 | ONE MT PLAZA BUFFALO, NY 14203 | $14K |
| BARNES, IACCARINO & SHEPHERD, LLP EIN 11-2450206 NONE | Legal Service code 29 | 3 SURREY LANE HEMPSTED, NY 11550 | $13K |
| BOSTON PARTNERS EIN 98-0202744 NONE | Legal Service code 29 | 1 BEACON STREET BOSTON, MA 02108 | $7K |
| MERRILL LYNCH EIN 13-5674085 NONE | Investment advisory (plan) Service code 27 | 26 CENTURY HILL DRIVE LATHAM, NY 12110 | $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 | 236 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 119 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 355 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | THE HARTFORD | 164 | $396K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 328 | $27K |
| Stop-loss / reinsurancereinsurance | EMPIRE HEALTHCHOICE ASSURANCE INC | 539 | $229K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 328 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 539 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.