No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC EIN 23-7391136 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Float revenue; Other services Service code 12 | — | $563K |
| THE SEGAL COMPANY, INC. EIN 13-4835864 NONE | Actuarial; Insurance brokerage commissions and fees Service code 11 | — | $65K |
| BARNES, IACCARINO, VIRGINIA EIN 13-4212610 NONE | Legal Service code 29 | — | $26K |
| MSPC EIN 22-2951202 NONE | Accounting (including auditing) Service code 10 | — | $19K |
| DMI BOOKKEEPING & ACCOUNTING EIN 20-2400574 NONE | Accounting (including auditing) Service code 10 | — | $9K |
| REYNOLDS CONSULTING SERVICES LLC EIN 11-2558102 NONE | Consulting (general) Service code 16 | 410 JERICHO TURNPIKE JERICHO, NY 11753 | $7K |
| STACEY BRAUN EIN 13-2889432 NONE | Soft dollars commissions; Investment advisory (plan) Service code 27 | — | $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 | 685 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 395 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,080 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EMPIRE HEALTH CHOICE ASSURANCE, INC. | 1,080 | $563K |
| Other | MUTUAL OF OMAHA INSURANCE COMPANY | 1,080 | $363K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,080 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.