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 | — | $57K |
| CORINNE SAVINO EIN 13-5623497 EMPLOYEE | Employee (plan) Service code 30 | — | $50K |
| SAVASTA AND COMPANY INC. EIN 13-3879959 NONE | Consulting (general); Actuarial Service code 11 | — | $48K |
| LAURA GEDULDIG EIN 13-5623497 EMPLOYEE | Employee (plan) Service code 30 | — | $44K |
| ZENITH AMERICAN SOLUTION EIN 52-1590516 NONE | Contract Administrator Service code 13 | — | $39K |
| GOULD KOBRICK & SCHLAPP PC EIN 13-3082707 UNION AUDITOR | Accounting (including auditing) Service code 10 | — | $37K |
| MEYER SUOZZI ENGLISH & KLEIN P.C. EIN 11-2340639 NONE | Legal Service code 29 | — | $23K |
| GCIU LOCAL 119B UNION EIN 13-5274605 RELATED UNION | Employee (plan) Service code 30 | — | $17K |
| CLEARBROOK FINANCIAL EIN 11-3290218 NONE | Investment advisory (plan) Service code 27 | — | $14K |
| LEVY RATNER P.C. EIN 13-3726314 NONE | Legal Service code 29 | — | $8K |
| GENERAL PRESCRIPTION PROGRAMS INC EIN 13-3271051 NONE | Claims processing Service code 12 | — | $6K |
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 | 130 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 66 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 198 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DENTCARE DELIVERY SYSTEMS | 64 | $28K |
| Stop-loss / reinsurancereinsurance | SIRIUS AMERICA INSURANCE COMPANY | 131 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 131 | — |
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.