| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY4 Filed as: SEGAL COMPANY (NY) | 333 W 34TH ST FLOOR 2 NEW YORK, NY 10001 | AETNA HEALTH INC. | $0 | $1K | $1K | 0.27% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INS COMPNAY EIN 06-6033492 NONE | Claims processing; Contract Administrator Service code 12 | — | $4.1M |
| AETNA LIFE INSURANCE CO. | Claims processing Service code 12 | — | $1.5M |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 AUDITOR | Accounting (including auditing) Service code 10 | — | $512K |
| VIRGA, JOHN J. EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $348K |
| THE SEGAL COMPANY (EASTERN STATES) EIN 13-1835864 NONE | Other commissions; Actuarial Service code 11 | — | $287K |
| INSTITUTIONAL CAPITAL LLC EIN 03-0598064 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $229K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal Service code 29 | — | $202K |
| DEELY, MILDRED EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $161K |
| WELLS CAPITAL MANAGEMENT, INC. EIN 95-3692822 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $143K |
| GORLICK, KRAVITZ, & LISTHAUS, P.C. EIN 13-3790829 ATTORNEY | Legal Service code 29 | — | $136K |
| MAHADEO, VICKRAM EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $132K |
| GIAMMONA, DOMINICK EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $89K |
| FITZMAURICE, KATHRYN EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $81K |
| CARUANA, CARLO EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $69K |
| SINGH, ISHRY EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $68K |
| GALLAGHER FIDUCIARY ADVISORS LLC EIN 36-4291971 NONE | Investment advisory (plan) Service code 27 | — | $60K |
| SMITH, JOLANTA EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $60K |
| TRUE TYPE PRINTING COMPANY, INC. EIN 13-5600711 NONE | Other services Service code 49 | — | $55K |
| ROMAN, MARILYN EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $52K |
| CURATOLO, ANTHONY EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $51K |
| SALCEDO, ALEXANDRA EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $51K |
| PEREZ (MIRANDA), YNDHIRA EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $47K |
| STATE STREET BANK & TRUST COMPANY EIN 04-1867445 NONE | Other fees; Investment management; Custodial (securities) Service code 19 | — | $41K |
| PEREZ, XIOMARA EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $40K |
| ROSARIO, MARIA EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $38K |
| GIRALDO-ROBINSON, MONICA EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $36K |
| MOROZ, DOMINIKA EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $35K |
| THESEGAL COMPANY (EASTERN STATES) | Other commissions Service code 55 | — | $35K |
| RAMIREZ, CARMEN EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $33K |
| RODRIGUEZ, JENNY EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $32K |
| TORRES, CELIA EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $31K |
| ARCHACKI, JOANNA EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $28K |
| LUCAS, MARTHA C. EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $27K |
| HERNANDEZ, HECTOR M. EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $24K |
| BICC SYSTEMS, INC. EIN 36-2852073 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $21K |
| COHEN, WEISS AND SIMON LLP EIN 13-1592323 ATTORNEY | Legal Service code 29 | — | $19K |
| STATE STREET GLOBAL ADVISORS EIN 04-1867445 NONE | Investment management fees paid directly by plan; Soft dollars commissions; Custodial (securities) Service code 19 | — | $17K |
| SEGAL SELECT INSURANCE SVC, INC. EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $15K |
| TEANECK BUSINESS ASSOCIATES, INC. NONE | Legal Service code 29 | 267 GRIGGS AVENUE TEANECK, NJ 07666 | $12K |
| ALLIED SYSTEM INTEGRATORS, INC. EIN 11-3622037 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $11K |
| DAVIS VISION, INC. EIN 11-3051991 NONE | Contract Administrator; Claims processing Service code 12 | — | $10K |
| GIDOVA, EVA EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $10K |
| MICHAEL PROHASKA EIN 13-5537605 NONE | Employee (plan) Service code 30 | — | $8K |
| THE METROPOLITAN COMPANIES, INC. EIN 13-3423067 NONE | Other services Service code 49 | — | $7K |
| DELTA COMPUTER SERVICES, INC. EIN 11-3044303 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $6K |
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 | 8,164 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,897 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 10,061 | 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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.