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 |
|---|---|---|---|
| MAGNACARE ADMINISTRATIVE SERVICES, EIN 11-3410766 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.2M |
| MARC GOODMAN EIN 13-5555808 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $290K |
| VIVEKA HEALTH EIN 47-2378254 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $248K |
| PITTA LLP EIN 26-3852082 NONE | Legal; Direct payment from the plan Service code 29 | — | $172K |
| DDS, INC NONE | Claims processing; Direct payment from the plan Service code 12 | 1640 HEMPSTEAD TURNPIKE EAST MEADOW, NY 11554 | $137K |
| ALICARE MEDICAL MANAGEMENT EIN 13-3860528 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $130K |
| CAROLYN ECHOLS EIN 13-5555808 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $118K |
| JOSEPH STERN CPA EIN 11-2767324 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $115K |
| MARIA BANCHS EIN 13-5555808 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $94K |
| JEFFREY S. DUBIN P.C. EIN 45-4939702 NONE | Legal; Direct payment from the plan Service code 29 | — | $77K |
| EMILY HERNANDEZ EIN 13-5555808 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $54K |
| DAELLA BARBERENA EIN 13-5555808 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $53K |
| JOLENE VICTORIA EIN 13-5555808 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $52K |
| ANNABELLE SOTO EIN 13-5555808 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $48K |
| SONIA ALVEREZ EIN 13-5555808 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $48K |
| JOSELYN IRIZARRY EIN 13-5555808 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $46K |
| CALIBRE CPA GROUP PLLC EIN 47-0900880 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $43K |
| TOP NOTCH SYSTEMS NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 8 MARK DRIVE SPRING VALLEY, NY 10977 | $40K |
| DANICA PADRO EIN 13-5555808 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $39K |
| BENESTREAM NONE | Claims processing; Direct payment from the plan Service code 12 | 220 EAST 23RD STREET NEW YORK, NY 10010 | $32K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $31K |
| FITZSIMMONS ABRAMS, LLP EIN 13-2858927 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $12K |
| ATALANTA SOSNOFF EIN 20-0461050 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $9K |
| OPTUMRX, INC. EIN 33-0441200 NONE | Float revenue; Direct payment from the plan; Other fees; Claims processing Service code 12 | — | $0 |
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 | 5,168 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 5,175 | 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.