| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | GROUP HEALTH INC | $183K | — | $183K | 3.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | MVP HEALTHCARE | $88K | — | $88K | 5.26% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: GILROY KERNAN & GILROY INC | 210 CLINTON RD NEW HARTFORD, NY 13413 | CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC. | $44K | — | $44K | 3.65% |
| JOHN H BLASCH3 | 71 BEECHWOOD LANE BERKELEY HEIGHTS, NJ 07922 | HARTFORD LIFE AND ACCIDENT | $39K | $20K | $59K | 12.73% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD, 2ND FLR HAUPPAUGE, NY 11788 | HARTFORD LIFE AND ACCIDENT | $7K | $3K | $10K | 2.27% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: GILROY KERNAN & GILROY INC | 210 CLINTON RD NEW HARTFORD, NY 13413 | MVP HEALTHCARE | $5K | — | $5K | 4.00% |
| ANTHONY PECONE3 | 116 REDFERN DRIVE CARY, NC 27518 | AETNA LIFE INSURANCE COMPANY | $2K | — | $2K | 11.86% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAGNACARE EIN 11-3410766 NONE | Other insurance fees and expenses; Direct payment from the plan; Claims processing Service code 12 | — | $1.3M |
| MARSHALL & MOSS PAYROLL COMPLIANCE EIN 04-3652965 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $639K |
| BARNES,IACCARINO & SHEPHERD LLP EIN 26-3858697 NONE | Legal; Direct payment from the plan Service code 29 | — | $543K |
| INNOVATIVE SOFTWARE SOLUTIONS INC EIN 23-2182079 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $220K |
| GENERAL VISION SERVICES LLC EIN 11-3580576 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $179K |
| LLOYD GOLDENBERG EIN 13-5600369 EMPLOYEE | Employee (plan) Service code 30 | — | $172K |
| DAVIS VISION INC EIN 11-3051991 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $158K |
| GEORGE TAYLOR EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $148K |
| THE SEGAL COMPANY INC EIN 13-1835864 NONE | Direct payment from the plan; Consulting (pension); Actuarial Service code 11 | — | $145K |
| ADMINSTRATIVE SERVICES ONLY INC EIN 11-2995970 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $131K |
| EMPIRX HEALTH LLC NONE | Claims processing; Direct payment from the plan Service code 12 | 155 CHESTUT RIDGE RD, STE 103 MONTVALE, NJ 07645 | $115K |
| KEVIN MCMENOMY EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $113K |
| INTERCONTINENTAL REAL ESTATE EIN 13-3786306 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $96K |
| SALVATORE SAVARESE EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $91K |
| MELINDA JAMES EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $80K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $73K |
| DEBORAH HEIBISCH EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $71K |
| ASHLEY NIEVES EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $71K |
| MARSHALL AND MOSS LLP EIN 11-3360166 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $70K |
| CARLA PICKNEY EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| KOBGO ASSOCIATES INC EIN 13-2751089 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $68K |
| BP AIR CONDITIONING CORP EIN 13-2958608 NONE | Direct payment from the plan; Other services Service code 49 | — | $65K |
| GREGORY VAGELATOS EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $62K |
| MONICA ORTIZ EIN 13-5600369 EMPLOYEE | Employee (plan) Service code 30 | — | $60K |
| STEVEN SALZMAN EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $60K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $59K |
| IRENE DOMAGALA EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $58K |
| EMILY LAFFERTY EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $56K |
| MIRIAM MOGOLLON EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $56K |
| JUANITA MIESES EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $52K |
| ANGELA BOWDEN EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $49K |
| KEVIN BARRY EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $48K |
| GALLAGHER BENEFIT SERVICES EIN 36-4291971 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $48K |
| RBT CPAS LLP NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 11 RACQUET ROAD SUITE 1 NEWBURGH, NY 12550 | $46K |
| PATTISON KOSKEY HOWE BUCCI PC EIN 14-1746505 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $46K |
| CARRIZA DIMAYUGA EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $43K |
| PRUDENTIAL RETIREMENT INSURANCE AND EIN 06-1050034 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $43K |
| GEORGEANNE MAMAKAS EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $42K |
| METROPOLITAN TEMPORARIES EIN 13-3423067 NONE | Other services; Direct payment from the plan Service code 49 | — | $41K |
| MICHAEL MALDONADO EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $41K |
| DIRECT MARKETING ANSWERS LLC NONE | Other services; Direct payment from the plan Service code 49 | 66-52 58TH AVE MASPETH, NY 11378 | $38K |
| VISION SCREENING INC EIN 06-1434201 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $37K |
| ALTUS METAL & MARBLE SERVICES INC. NONE | Other services; Direct payment from the plan Service code 49 | 4316 12TH ST LONG ISLAND CITY, NY 11101 | $35K |
| CLEARARC CAPITAL INC. EIN 34-1172683 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $31K |
| JACQUELINE CENTENO-LUGO EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $29K |
| CRISTINA BOZZA EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $27K |
| VOYA INVESTMENT MANAGEMENT EIN 45-2872871 NONE | Investment management; Investment management fees paid directly by plan; Soft dollars commissions Service code 28 | — | $25K |
| WELLS FARGO BANK, N.A. EIN 41-0449620 NONE | Other investment fees and expenses; Direct payment from the plan; Investment management; Custodial (other than securities) Service code 18 | — | $21K |
| SMOOTH SOLUTIONS INC. EIN 13-3982620 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $20K |
| MACKAY SHIELDS LLC EIN 13-5582869 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $19K |
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 | 5,594 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 850 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 6,444 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | GROUP HEALTH INC | 373 | $7.3M |
| Dental | THE UNION LABOR LIFE INSURANCE COMPANY | 116 | $32K |
| Life insurance(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 1,632 | $507K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 888 | $461K |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 1,632 | $507K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,632 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.