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 EIN 11-3410766 NONE | Claims processing Service code 12 | ONE PENN PLAZA NEW YORK, NY 10119 | $520K |
| PROSKAUER ROSE LLP EIN 13-1840454 PROVIDES SRVS FOR REL EBP | Legal Service code 29 | — | $329K |
| WHITESTAR ADVISORS, LLC EIN 03-0496641 PROVIDES SVRS FOR EBP | Investment management Service code 28 | — | $322K |
| HARVEY MORGAN EIN 13-5608135 TRUSTEE & ADMSTR FOR EBP | Employee (plan) Service code 30 | — | $209K |
| ROSANNA FURIO EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $139K |
| FENIMORE ASSET MANAGEMENT, INC. EIN 14-1564237 PROVIDES SRVS FOR REL EBP | Investment management Service code 28 | — | $124K |
| WHITESTAR MANAGEMENT SERVICES, LLC EIN 26-0659908 PROVIDES SRVS FOR REL EBP | Investment management Service code 28 | — | $94K |
| DAVID MORALES EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $92K |
| MATTHEW SCHER EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $91K |
| DR. STEVE SARIN NONE | Other services Service code 49 | 245 EAST 24TH STREET, 5K NEW YORK, NY 10010 | $90K |
| D.D. SERVICES, INC EIN 11-2705347 NONE | Claims processing Service code 12 | — | $89K |
| DR. ARNOLD LIEBMAN NONE | Other services Service code 49 | 1603 VOORHIES AVENUE BROOKLYN, NY 11235 | $82K |
| MARK PEPGJONAJ EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $81K |
| LORRAINE BUONACORE EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $80K |
| WILLIAM ALEXANDER EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $77K |
| BUCHBINDER TUNICK & CO, LLP EIN 13-1578842 PRO SRVS FOR REL ORG & EB | Accounting (including auditing) Service code 10 | — | $76K |
| STEPHAN GARRIQUES EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $76K |
| DR. KENNETH SCHWARTZ NONE | Other services Service code 49 | 26 NAVAJO ROAD MANALAPAN, NJ 07726 | $71K |
| JUAN THEN EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $70K |
| DR. LUCKWINDER GILL NONE | Other services Service code 49 | 75-25 153RD STREET PH-19 KEW GARDENS HILLS, NY 11367 | $67K |
| WANDA LOZANO EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $64K |
| FRANCESCO LICARI EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $63K |
| ALBERTO RIVERA EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $60K |
| SEGAL COMPANY (EASTERN STATES), INC EIN 13-1835864 PROVIDES SRVS FOR REL EBP | Actuarial Service code 11 | — | $55K |
| LORETTA CHAN EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $51K |
| KOWSILIA RAMKISSOON EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $51K |
| LILLIAN TORRES EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $51K |
| ERIC ACEVEDO EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $46K |
| MARIA A. GONZALEZ EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $45K |
| LINDA ALVAREZ EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $45K |
| MILAGROS ACOSTA EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $41K |
| STACEY BRAUN ASSOCIATES, INC. EIN 13-2889432 PRO SRVS FOR REL ORG & EB | Investment management Service code 28 | — | $40K |
| LOUIS SMITH PROV SRVS FOR REL EBP | Employee (plan); Consulting (general) Service code 16 | 4 MICHAEL ROBERTS COURT PEARL RIVER, NY 10965 | $37K |
| VICKY TYCZYNSKI EIN 13-5608135 NONE | Employee (plan) Service code 30 | — | $33K |
| BARNES, IACCARRINO & SHEPHERD LLP EIN 26-3858697 PRO SRVS REL EBP | Legal Service code 29 | — | $33K |
| REYNOLDS CONSULTING SERVICES, LLC EIN 20-1899564 PROVIDES SRVS FOR REL EBP | Investment advisory (plan) Service code 27 | — | $31K |
| COLUMBIA MANAGEMENT INVESTMENT ADVI EIN 41-1533211 PROVIDES SVRS FOR EBP | Investment management Service code 28 | — | $25K |
| EXPRESS SCRIPTS EIN 22-3461740 NONE | Claims processing Service code 12 | — | $16K |
| MARSHALL & MOSS, LLP EIN 11-3360166 PROVIDES SRVS FOR REL EBP | Accounting (including auditing) Service code 10 | — | $11K |
| M&T BANK EIN 16-0538020 PROVIDES SVRS FOR EBP | Investment management; Custodial (securities) Service code 19 | — | $8K |
| LITTLER MENDELSON PLLC EIN 94-2602731 PROVIDES SRVS FOR REL EBP | Trustee (individual) Service code 20 | — | $8K |
| ZISKIN LAW FIRM LLP EIN 02-0694191 PROVIDES SRVS FOR REL EBP | Trustee (individual) Service code 20 | — | $8K |
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 | 2,939 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 413 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,352 | 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.