| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL COMPANY INC | 66 HUDSON BOULEVARD EAST, 20TH FL NEW YORK, NY 10001 | THE NORTH RIVER INSURANCE COMPANY | $45K | — | $45K | 4.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC EIN 23-7391136 NONE | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Float revenue; Investment management fees paid directly by plan; Claims processing Service code 12 | — | $517K |
| LOCAL 21 ADMINISTRATIVE FUND NONE | Other fees; Direct payment from the plan Service code 50 | 1024 MCKINLEY STREET PEEKSKILL, NY 10566 | $323K |
| THE SEGAL COMPANY, INC. EIN 13-4835864 NONE | Insurance brokerage commissions and fees; Actuarial Service code 11 | — | $88K |
| MSPC EIN 22-2951202 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $45K |
| BARNES, IACCARINO, SHEPHERD LLP EIN 13-4212610 NONE | Legal; Direct payment from the plan Service code 29 | — | $28K |
| DMI BOOKKEEPING & ACCOUNTING EIN 20-2400574 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $11K |
| REYNOLDS CONSULTING SERVICES LLC EIN 11-2558102 NONE | Investment management fees paid directly by plan; Consulting (general) Service code 16 | 410 JERICHO TURNPIKE JERICHO, NY 11753 | $9K |
| STACEY BRAUN EIN 13-2889432 NONE | Investment advisory (plan); Soft dollars commissions; Investment management fees paid directly by plan Service code 27 | — | $7K |
| BOLTON PARTNERS NONE | Actuarial; Investment management fees paid directly by plan Service code 11 | 2202 N WESTSHORE BLVD, SUITE 200 TAMPA, FL 33607 | $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 | 645 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 374 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,019 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | COMPANION LIFE INSURANCE COMPANY | 1,025 | $386K |
| Stop-loss / reinsurancereinsurance | ANTHEM BLUE CROSS BLUE SHIELD | 0 | $0 |
| Other(2 contracts, 2 carriers) | THE NORTH RIVER INSURANCE COMPANY | 1,019 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,025 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.