No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC. EIN 23-7391136 NONE | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services; Float revenue Service code 12 | — | $8.1M |
| VIRGINIA & AMBINDER LLP EIN 13-4166736 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $1.7M |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $1.3M |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $1.2M |
| EXPRESS SCRIPTS INC EIN 22-3461740 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $891K |
| DAVID STEWART EIN 13-5615576 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $377K |
| INNOVATIVE SOFTWARE SOLUTIONS INC. EIN 23-2182079 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $375K |
| KAUFF MCGUIRE & MARGOLIS LLP EIN 13-3573855 NONE | Legal; Direct payment from the plan Service code 29 | — | $346K |
| ADMINISTRATIVE SERVICES ONLY INC EIN 11-2995970 NONE | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $339K |
| ROBERT LESNIEWSKI EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $315K |
| HARVARD PROTECTION SERVICES LLC EIN 13-4127048 SECURITY PROVIDER | Direct payment from the plan; Other services Service code 49 | — | $233K |
| ROBERT HERZOG NONE | Legal; Direct payment from the plan Service code 29 | 10566 REGATTA RIDGE RD BOYNTON, FL 33473 | $199K |
| LAZARD ASSET MANAGEMENT LLC EIN 05-0530199 NONE | Investment management; Investment management fees paid indirectly by plan; Investment management fees paid directly by plan Service code 28 | — | $187K |
| DAVID JACOBSEN EIN 13-5615576 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $178K |
| THE SEGAL COMPANY (EASTERN STATES) EIN 13-1835864 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $162K |
| LUKE POWERS EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $149K |
| BENJAMIN LAMBERT EIN 13-5615576 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $147K |
| FORD HARRISON LLP EIN 58-1314995 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $145K |
| MUNICIPAL ASSET MANAGEMENT EIN 13-3751894 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $144K |
| GINO FIACCO EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $133K |
| LUIS CORDERO EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $132K |
| FRANCES CONSIDINE EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $132K |
| BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Direct payment from the plan; Custodial (securities); Float revenue; Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Shareholder servicing fees Service code 19 | — | $120K |
| DANIA RAMOS EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $119K |
| MARLENE GROSSMAN EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $117K |
| KRISTIN O'BRIEN EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $117K |
| BRYCE HERNSDORF EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $117K |
| OLGA ALISHAYEVA EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $113K |
| PAYDEN & RYGEL EIN 95-3921788 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $112K |
| KENNEDY JENNIK & MURRAY P.C. EIN 25-1919594 NONE | Legal; Direct payment from the plan Service code 29 | — | $108K |
| ROGER E. MAHER ARBITRATOR | Legal; Direct payment from the plan Service code 29 | 23 83RD STREET BROOKLYN, NY 11209 | $108K |
| STATE STREET GLOBAL ADVISORS EIN 81-4017137 NONE | Investment management; Custodial (other than securities); Custodial (securities); Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 18 | — | $100K |
| MONICA SCHMIDT EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| GERARD MINETELLO EIN 13-5615576 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $93K |
| GINA LACEY EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $90K |
| JILLIAN PADULA EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $89K |
| VIRGINIA GRAHAM EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $87K |
| MATTHEW MCMAHON EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $87K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $87K |
| WILLIAM DAVIDIAN EIN 13-5615576 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $86K |
| TAMMY MOY EIN 13-5615576 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $84K |
| CHRISTOPHER OZARD EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $84K |
| SENADA VELAJ EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $83K |
| EILEEN SCHILLING EIN 13-5615576 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| HUGO SPINDOLA EIN 13-5615576 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| WILLIAM SCOTT SORGE EIN 13-5615576 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| STEVEN SOLAAS EIN 13-5615576 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| EDWARD KISLIK EIN 13-5615576 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $77K |
| KATHERINE SANCHEZ CIONGOLI EIN 13-5615576 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| SONYA MITCHELL EIN 13-5615576 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
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 | 14,842 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6,355 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 21,197 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE CO. | 47,377 | $8.8M |
| Other | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 7,380 | $7.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 47,377 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.