| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY4 Filed as: SEGAL COMPANY (THE) | 333 W 34TH ST 2ND FL NEW YORK, NY 10001 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | — | $120 | $120 | 0.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 NONE | Direct payment from the plan; Claims processing; Other services; Named fiduciary; Participant communication; Contract Administrator; Non-monetary compensation; Float revenue Service code 12 | — | $2.7M |
| THE SEGAL COMPANY (EASTERN STATES), EIN 13-1835864 NONE | Consulting (general); Insurance brokerage commissions and fees; Actuarial Service code 11 | — | $462K |
| ARTHUR DRECHSLER EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $386K |
| JOSEPH ROGERS EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $195K |
| VINCENT CINELLI EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $189K |
| TSYS MERCHANT SOLUTIONS EIN 27-1977876 NONE | Direct payment from the plan; Other services Service code 49 | — | $184K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $179K |
| WILLIAM STEINHAUER EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $165K |
| LSV ASSET MGMT EIN 23-2772200 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $156K |
| CINDY GOLD EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $142K |
| FIVE STAR/DISPATCH BUS SVCS INC EIN 46-3110430 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $138K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $124K |
| AGNES LEYDEN EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $115K |
| MARILYN ABREU EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $113K |
| SHANE ABDELNOUR EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $111K |
| SPIVAK & LIPTON EIN 13-3494495 NONE | Legal; Direct payment from the plan Service code 29 | — | $97K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $96K |
| BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Float revenue; Other investment fees and expenses; Custodial (securities); Investment management fees paid directly by plan; Direct payment from the plan; Investment management fees paid indirectly by plan Service code 19 | — | $83K |
| LISA ROSARIO EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| WINSTON GRIFFIN EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| HSUEH LING CHEN EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| FREDERICK MALLER EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| JENNIFER CHU EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $73K |
| CARINA DEL RIO EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $72K |
| JOSEPHINE FELICE EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| SHEILA LEVY-PARRIS EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| DIEDRE BURTON EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $70K |
| CORINE HALY EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $69K |
| PATRICIA GAERLAN-MONTON EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| DONALD JEFFERSON EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| IRIS AKANDE EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $67K |
| LYNETTE BAJNAUTH EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $65K |
| EILEEN MEZON EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $64K |
| TAI PATE EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $61K |
| JACQUELINE BROWN EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $60K |
| PRANDI PITAMBER EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $57K |
| MAURISSA SILLITTI EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $56K |
| THELMA BENJAMIN EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $56K |
| MARK WHITE EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $56K |
| JOYCE BARRERA EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $55K |
| ANTHONY LITTLE EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $47K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $45K |
| INCOME RESEARCH + MANAGEMENT EIN 04-2955404 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $37K |
| COMPREHENSIVE CONSULTING SOLUTIONS EIN 52-2099008 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $37K |
| SOCIALBRITE NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 3756 PIMLICO DR PLEASANTON, CA 94588 | $25K |
| TERRY SCHMIDT LLC EIN 45-3672353 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $23K |
| DAVIS VISION EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $22K |
| RACKSPACE EIN 74-3219359 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $18K |
| MADELINE FALLON NONE | Direct payment from the plan; Trustee (individual) Service code 20 | 339 W BARRY AVE APT 3C CHICAGO, IL 60657 | $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 | 7,017 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 369 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 7,386 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 185 | $373K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 2,433 | $2.2M |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 185 | $373K |
| Stop-loss / reinsurancereinsurance | BERKLEY LIFE AND HEALTH INSURANCE COMPANY | 7,456 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,456 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.