| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GBS INSURANCE BROKERAGE AND FINAN3 | ONE JERICHO PLAZA, STE 200 JERICHO, NY 11753 | HIGHMARK BLUSESHIELD OF NORTHEASTERN NY | $34K | — | $34K | 4.05% |
| JOHN H BLASCH3 | 71 BEECHWOOD LANE BERKELEY HEIGHTS, NJ 07922 | SYMETRA LIFE INSURANCE COMPANY | $84K | $15K | $99K | 23.62% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 300 MADISON AVE, 28TH FLR NEW YORK, NY 10017 | MVP HEALTHCARE | $5K | — | $5K | 4.08% |
| JOHN H BLASCH3 | 71 BEECHWOOD LANE BERKELEY HEIGHTS, NJ 07922 | SYMETRA LIFE INSURANCE COMPANY | $7K | $2K | $9K | 24.30% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAGNACARE EIN 11-3410766 NONE | Direct payment from the plan; Other insurance fees and expenses; Claims processing Service code 12 | — | $1.4M |
| EMPIRX HEALTH LLC EIN 47-1226691 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $749K |
| MARSHALL & MOSS PAYROLL COMPLIANCE EIN 04-3652965 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $681K |
| BARNES,IACCARINO & SHEPHERD LLP EIN 26-3858697 NONE | Legal; Direct payment from the plan Service code 29 | — | $365K |
| BRIDGEWAY BENEFIT TEHCNOLOGIES NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 3700 KOPPERS ST, STE 400 BALTIMORE, MD 21227 | $286K |
| GALLAGHER BENEFIT SERVICES INC EIN 36-2481781 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $250K |
| THE SEGAL COMPANY INC EIN 13-1835864 NONE | Actuarial; Consulting (pension); Direct payment from the plan Service code 11 | — | $241K |
| STACY PECCHIA EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $221K |
| AURELIA CIOCOI EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $212K |
| GENERAL VISION SERVICES LLC EIN 11-3580576 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $162K |
| KEVIN MCMENOMY EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $138K |
| ADMINSTRATIVE SERVICES ONLY INC EIN 11-2995970 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $123K |
| MONICA ORTIZ EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $120K |
| ASHLEY NIEVES EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $103K |
| SALVATORE SAVARESE EIN 13-5600369 EMPLOYEE | Employee (plan) Service code 30 | — | $101K |
| LLOYD GOLDENBERG EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $96K |
| DEBORAH HEIBISCH EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $95K |
| CARLA PICKNEY EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| CONSOLIDATED EDISON INC. EIN 13-3965100 NONE | Other services; Direct payment from the plan Service code 49 | — | $93K |
| DAVIS VISION INC EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $90K |
| LAMONA MITCHELL EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $90K |
| IRENE DOMAGALA EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $84K |
| KOBGO ASSOCIATES INC EIN 13-2751089 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $78K |
| MARSHALL AND MOSS LLP EIN 11-3360166 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $77K |
| INTERCONTINENTAL REAL ESTATE EIN 13-3786306 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $75K |
| STEVEN SALZMAN EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $74K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $73K |
| MIRIAM MOGOLLON EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $68K |
| ULLICO INVESTMENT ADVISORS INC EIN 52-6435649 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $66K |
| METROPOLITAN MANAGEMENT INC EIN 45-3845437 NONE | Other fees; Direct payment from the plan Service code 50 | — | $63K |
| SAFEWAY SANITIZING INC NONE | Direct payment from the plan; Other services Service code 49 | 105-03 LIBERTY AVE OZONE PARK, NY 11417 | $60K |
| ANGELA BOWDEN EIN 13-5600369 EMPLOYEE | Direct payment from the plan Service code 50 | — | $59K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $55K |
| ROCIO GARCIA EIN 13-5600369 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $52K |
| GEORGEANNE MAMAKAS EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $50K |
| CARRIZA DIMAYUGA EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $49K |
| MARSHALL & MOSS ADMINISTRATIVE SERV EIN 81-2845805 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $49K |
| UHY ADVISORS NY INC EIN 14-1555429 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $48K |
| CELESTE BALLARD EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $46K |
| LAMONT HEYWARD EIN 13-5600369 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $45K |
| UNI PRINTING SOLUTIONS LLC NONE | Participant communication; Direct payment from the plan Service code 38 | 42 READS WAY NEW CASTLE, DE 19720 | $42K |
| METROPOLITAN TEMPORARIES EIN 13-3423067 NONE | Other services; Direct payment from the plan Service code 49 | — | $39K |
| MACKAY SHIELDS LLC EIN 13-5582869 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $32K |
| CRISTINA BOZZA EIN 13-5600369 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $32K |
| VOYA INVESTMENT MANAGEMENT EIN 45-2872871 NONE | Investment management; Investment management fees paid directly by plan; Soft dollars commissions Service code 28 | — | $28K |
| JOHNSON CONTROLS SECURITY SOLUTIONS EIN 26-2485989 NONE | Direct payment from the plan; Other services Service code 49 | — | $25K |
| WASTE CONNECTIONS INC EIN 68-0400286 NONE | Other services; Direct payment from the plan Service code 49 | — | $24K |
| BP AIR CONDITIONING CORP EIN 13-2958608 NONE | Direct payment from the plan; Other services Service code 49 | — | $23K |
| VISION SCREENING INC EIN 06-1434201 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $23K |
| LOOMIS SAYLES TRUST COMPANY EIN 20-8080381 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $22K |
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 | 5,171 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 943 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 6,114 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE UNION LABOR LIFE INSURANCE COMPANY | 121 | $32K |
| Life insurance(3 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 121 | $488K |
| Short-term disability | SYMETRA LIFE INSURANCE COMPANY | 0 | $419K |
| Prescription drug | HIGHMARK BLUSESHIELD OF NORTHEASTERN NY | 119 | $842K |
| Other(3 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 121 | $488K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 709 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.