No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 23-7391136 NONE | Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Contract Administrator Service code 12 | — | $73K |
| SAVASTA & CO EIN 11-2149653 NONE | Actuarial Service code 11 | — | $45K |
| BENEFIT SERVICES EIN 23-2732561 NONE | Contract Administrator; Claims processing Service code 12 | — | $43K |
| MEYER SUOZZI EIN 11-2340639 NONE | Legal Service code 29 | — | $40K |
| AGUEDA ENCARNACION EIN 13-5623497 EMPLOYEE | Employee (plan) Service code 30 | — | $30K |
| GOULD KOBRICK & SCHLAPP PC EIN 13-3082707 UNION AUDITOR | Accounting (including auditing) Service code 10 | — | $28K |
| GCIU LOCAL 119B UNION EIN 13-5274605 RELATED UNION | Employee (plan) Service code 30 | — | $24K |
| CLEARBROOK FINANCIAL EIN 11-3290218 NONE | Investment advisory (plan) Service code 27 | — | $17K |
| GENERAL PRESCRIPTION PROGRAMS INC EIN 13-3271051 NONE | Claims processing Service code 12 | — | $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 | 108 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 99 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DENTCARE DELIVERY SYSTEMS | 66 | $30K |
| Stop-loss / reinsurancereinsurance | STANDARD SECURITY LIFE INSURANCE CO.NY | 139 | $61K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 139 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.