No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| STATE STREET GLOBAL ADVISORS EIN 81-4017137 TRUSTEE | Investment management fees paid directly by plan; Custodial (other than securities); Custodial (securities); Investment management fees paid indirectly by plan Service code 18 | — | $547K |
| EMPIRE HEALTHCHOICE ASSURANCE, INC EIN 23-7391136 NONE | Float revenue; Other commissions; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Insurance brokerage commissions and fees; Other services; Insurance agents and brokers Service code 12 | — | $542K |
| UNITEDHEALTHCARE SERVICES, LLC EIN 47-0854646 NONE | Claims processing; Other services Service code 12 | — | $259K |
| OPTUMRX, INC. EIN 33-0441200 NONE | Claims processing; Direct payment from the plan; Float revenue; Other fees Service code 12 | — | $247K |
| PRICEWATERHOUSECOOPERS LLP EIN 13-4008324 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $70K |
| WILLIS TOWERS WATSON US LLC EIN 53-0181291 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $50K |
| EBPA LLC EIN 20-1879465 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $50K |
| HRI DBA HUMANA WELLNESS EIN 27-1649291 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $17K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Contract Administrator Service code 13 | — | $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 | 19,386 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,681 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 21,067 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | OXFORD HEALTH PLANS (NY), INC. | 53 | $129K |
| Life insurance | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | 965 | $88K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 965 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.