| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY4 Filed as: THE SEGAL COMPANY (EASTERN STATES) | — | THE UNION LABOR LIFE INSURANCE COMPANY | $40K | $0 | $40K | 2.67% |
| CONTEMPORARY STRATEGIC SOLUTIONS4 | — | THE UNION LABOR LIFE INSURANCE COMPANY | $30K | $0 | $30K | 2.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INS. CO. EIN 06-6033492 NONE | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $4.8M |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $650K |
| THE SEGAL CO. (EASTERN STATES), INC EIN 13-1835864 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $350K |
| GUTSIN ANNA EIN 13-5537605 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $313K |
| JANUS CAPITAL MANAGEMENT, LLC. EIN 75-3019302 NONE | Investment management; Soft dollars commissions; Investment management fees paid indirectly by plan; Investment management fees paid directly by plan Service code 28 | — | $287K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $253K |
| WESTERN ASSET MGMT CO. LLC EIN 52-1200960 NONE | Soft dollars commissions; Investment management fees paid directly by plan; Investment management Service code 28 | — | $223K |
| MAHADEO VICKRAM EIN 13-5537605 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $181K |
| GIAMMONA DOMINICK EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $135K |
| YANKILEVICH OLGA EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $125K |
| GORLICK KRAVITZ & LISTHAUS P.C. EIN 13-3790829 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $101K |
| STATE STREET BANK & TRUST COMPANY EIN 04-1867445 NONE | Custodial (securities); Distribution (12b-1) fees; Other fees; Float revenue; Direct payment from the plan Service code 19 | — | $100K |
| CARUANA CARLO EIN 13-5537605 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $94K |
| ALLIED SYSTEM INTEGRATORS INC. EIN 11-3622037 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $94K |
| SINGH ISHRY EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| MORALES DAVID EIN 13-5537605 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $89K |
| CONA JOSEPHINE EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| TRUE TYPE PRINTING COMPANY, INC. EIN 13-5600711 NONE | Other services; Direct payment from the plan Service code 49 | — | $76K |
| CURATOLO ANTHONY EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $72K |
| SALCEDO ALEXANDRA EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $71K |
| RODRIGUEZ GUILLERMO EIN 13-5537605 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| PEREZ (MIRANDA) YNDHIRA EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $67K |
| MOTIERAM DEVI EIN 13-5537605 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $57K |
| PEREZ XIOMARA EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $55K |
| MOROZ DOMINIKA EIN 13-5537605 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $54K |
| GALLAGHER FIDUCIARY ADVISORS, LLC. EIN 36-4291971 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $53K |
| GIRALDO-ROBINSON MONICA EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $53K |
| SANTOS CARMEN M EIN 13-5537605 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $51K |
| WILLIAM BLAIR INVESTMENT MGMT, LLC. EIN 47-2614791 NONE | Soft dollars commissions; Investment management fees paid indirectly by plan; Investment management; Investment management fees paid directly by plan Service code 28 | — | $50K |
| SALAS TATIANA EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $49K |
| RODRIGUEZ-PADIN MARISOL EIN 13-5537605 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $48K |
| ROSARIO MARIA EIN 13-5537605 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $47K |
| ROMAN MARILYN EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $44K |
| LUCAS MARTHA C. EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $44K |
| HERNANDEZ HECTOR M. EIN 13-5537605 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $44K |
| CHANLATTE GRECIA EIN 13-5537605 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $42K |
| STATE STREET GLOBAL ADVISORS TRUST EIN 81-4017173 NONE | Soft dollars commissions; Investment management fees paid directly by plan; Custodial (securities); Investment management fees paid indirectly by plan Service code 19 | — | $42K |
| ANDINO JENNIFER EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $41K |
| MD BUILDING SERVICES EIN 13-3684387 CLEANING COMPANY | Direct payment from the plan; Other services Service code 49 | — | $29K |
| RAMIREZ JANNI EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $28K |
| VELEZ JAYLA EIN 13-5537605 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $27K |
| SEGAL SELECT INSURANCE SVCS. INC. | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $20K |
| ROBERT M. CHEVERIE & ASSOCIATES, PC EIN 06-1335139 NONE | Legal; Direct payment from the plan Service code 29 | — | $18K |
| ADP NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | ONE ADP BLVD ROSELAND, NJ 07068 | $18K |
| AMALGAMATED EMPLOYEE BENEFIT ADMIN EIN 13-3432221 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $13K |
| BICC SYSTEMS, INC. EIN 36-2852073 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $12K |
| UNITED PRINT GROUP INC. EIN 13-3034937 NONE | Direct payment from the plan; Other services Service code 49 | — | $10K |
| DAVIS VISION INC. EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $9K |
| MICHAEL JAMES INDUSTRIES, INC. EIN 11-3507369 BUILDING MAINTENANCE | Other services; Direct payment from the plan Service code 49 | — | $7K |
| TEANECK BUSINESS ASSOCIATES INC. EIN 26-3157475 NONE | Legal; Direct payment from the plan Service code 29 | — | $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 | 7,790 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,121 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 9,911 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 9,462 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,462 | — |
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."
No prospect flags tripped on this filing.