No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PITTA & GIBLIN LLP EIN 26-3852082 NONE | Legal Service code 29 | 120 BROADWAY NEW YORK, NY 10271 | $185K |
| MARC GOODMAN EIN 13-5555808 EMPLOYEE | Employee (plan) Service code 30 | 220 EAST 23RD STREET NEW YORK, NY 100104606 | $181K |
| ALICARE MEDICAL MANAGEMENT EIN 13-3860528 NONE | Claims processing Service code 12 | PO BOX 5430 WHITE PLAINS, NY 106025430 | $180K |
| CAROLYN ECHOS EIN 13-5555808 EMPLOYEE | Employee (plan) Service code 30 | 220 EAST 23RD STREET NEW YORK, NY 100104606 | $111K |
| MARIA BANCHS EIN 13-5555808 EMPLOYEE | Employee (plan) Service code 30 | 220 EAST 23RD STREET NEW YORK, NY 100104606 | $90K |
| JOSEPH STERN CPA EIN 11-2767324 NONE | Accounting (including auditing) Service code 10 | 89 JOSEPH AVENUE STATEN ISLAND, NY 10314 | $60K |
| FITZSIMMONS ABRAMS, LLP EIN 13-2858927 NONE | Accounting (including auditing) Service code 10 | 59 EAST 54TH STREET NEW YORK, NY 10022 | $47K |
| DANELIA BARBERENA EIN 13-5555808 EMPLOYEE | Employee (plan) Service code 30 | 220 EAST 23RD STREET NEW YORK, NY 100104606 | $46K |
| ANNABELLE SOTO EIN 13-5555808 EMPLOYEE | Employee (plan) Service code 30 | 220 EAST 23RD STREET NEW YORK, NY 100104606 | $46K |
| EMILY HERNANDEZ EIN 13-5555808 EMPLOYEE | Employee (plan) Service code 30 | 220 EAST 23RD STREET NEW YORK, NY 100104606 | $45K |
| SONIA ALVAREZ EIN 13-5555808 EMPLOYEE | Employee (plan) Service code 30 | 220 EAST 23RD STREET NEW YORK, NY 100104606 | $45K |
| JOLENE VICTORIA EIN 13-5555808 EMPLOYEE | Employee (plan) Service code 30 | 220 EAST 23RD STREET NEW YORK, NY 100104606 | $43K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial Service code 11 | 1 PARK AVENUE NEW YORK, NY 10016 | $37K |
| JEFFREY S. DUBIN P.C. EIN 45-4939702 NONE | Legal Service code 29 | 464 NEW YORK AVENUE HUNTINGTON, NY 11743 | $31K |
| JOSELIN IRIZARRY EIN 13-5555808 EMPLOYEE | Employee (plan) Service code 30 | 220 EAST 23RD STREET NEW YORK, NY 100104606 | $26K |
| WELLS FARGO ADVISORS EIN 34-1542819 NONE | Investment advisory (plan) Service code 27 | 1133 WESTCHESTER AVE WHITE PLAINS, NY 10604 | $2K |
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 | 5,180 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,180 | 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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.