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 | Claims processing; Direct payment from the plan Service code 12 | — | $1.4M |
| PITTA LLP EIN 26-3852082 NONE | Legal; Direct payment from the plan Service code 29 | — | $368K |
| MARC GOODMAN EIN 13-5555808 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $304K |
| VIVEKA HEALTH, INC. EIN 47-2378254 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $272K |
| DDS, INC. NONE | Claims processing; Direct payment from the plan Service code 12 | 1640 HEMPSTEAD TURNPIKE EAST MEADOW, NY 11554 | $152K |
| ALICARE MEDICAL MANAGEMENT EIN 13-3860528 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $149K |
| CAROLYN ECHOLS EIN 13-5555808 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $114K |
| TEAMSTER CENTER SERVICES EIN 13-1964856 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $114K |
| MARIA BANCHS EIN 13-5555808 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $92K |
| ANNABELLE SOTO EIN 13-5555808 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $64K |
| SONIA ALVEREZ EIN 13-5555808 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $58K |
| DAELLA BARBERENA EIN 13-5555808 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $55K |
| JOLENE VICTORIA EIN 13-5555808 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $54K |
| EMILY HERNANDEZ EIN 13-5555808 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $53K |
| DANICA PADRO EIN 13-5555808 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $53K |
| JOSELYN IRIZARRY EIN 13-5555808 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $50K |
| CALIBRE CPA GROUP PLLC EIN 47-0900880 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $48K |
| JOSEPH STERN CPA EIN 11-2767324 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $42K |
| JEFFREY S. DUBIN P.C. EIN 45-4939702 NONE | Legal; Direct payment from the plan Service code 29 | — | $40K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $31K |
| OPTUMRX, INC. EIN 33-0441200 NONE | Other fees; Float revenue; Claims processing; Direct payment from the plan Service code 12 | — | $24K |
| BENESTREAM NONE | Claims processing; Direct payment from the plan Service code 12 | 220 EAST 23RD STREET NEW YORK, NY 10010 | $23K |
| CARLOS RANGEL CPA PC NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 200 PARK AVENUE NEW YORK, NY 10166 | $13K |
| ATALANTA SOSNOFF EIN 20-0461050 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $8K |
| KAUFMAN, DOLOWICH, VOLUCK LLP NONE | Legal; Direct payment from the plan Service code 29 | 40 EXCHANGE PLACE NEW YORK, NY 10005 | $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 | 5,048 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 5,051 | 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.