| 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 | — | $1K | $1K | 1.19% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 NONE | Float revenue; Direct payment from the plan; Participant communication; Named fiduciary; Non-monetary compensation; Other services; Contract Administrator; Claims processing Service code 12 | — | $3.0M |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $425K |
| THE SEGAL COMPANY (EASTERN STATES), EIN 13-1835864 NONE | Actuarial; Insurance brokerage commissions and fees; Consulting (general) Service code 11 | — | $415K |
| ARTHUR DRECHSLER EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $404K |
| JOSEPH ROGERS EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $201K |
| VINCENT CINELLI EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $195K |
| TSYS MERCHANT SOLUTIONS EIN 27-1977876 NONE | Other services; Direct payment from the plan Service code 49 | — | $174K |
| FIVE STAR PRINTING & MAILING EIN 13-3694151 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $173K |
| WILLIAM STEINHAUER EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $170K |
| CINDY GOLD EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $147K |
| LSV ASSET MGMT EIN 23-2772200 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $142K |
| AGNES LEYDEN EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $120K |
| MARILYN ABREU EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $116K |
| SHANE ABDELNOUR EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $114K |
| SPIVAK & LIPTON EIN 13-3494495 NONE | Legal; Direct payment from the plan Service code 29 | — | $107K |
| LISA ROSARIO EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $88K |
| WINSTON GRIFFIN EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $84K |
| BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Custodial (securities); Direct payment from the plan; Float revenue; Investment management fees paid directly by plan; Investment management fees paid indirectly by plan; Other investment fees and expenses Service code 19 | — | $83K |
| HSUEH LING CHEN EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| SEGAL BENZ NONE | Direct payment from the plan; Consulting (general) Service code 16 | 275 9TH STREET SAN FRANCISCO, CA 94103 | $78K |
| CARINA DEL RIO EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $75K |
| JENNIFER CHU EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| SHEILA LEVY-PARRIS EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $74K |
| DIEDRE BURTON EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $72K |
| CORINE HALY EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $72K |
| DONALD JEFFERSON EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $71K |
| PATRICIA GAERLAN-MONTON EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $71K |
| IRIS AKANDE EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $70K |
| LYNETTE BAJNAUTH EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $69K |
| EILEEN MEZON EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $63K |
| JACQUELINE BROWN EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $62K |
| TAI PATE EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $62K |
| PRANDI PITAMBER EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $61K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $60K |
| THELMA BENJAMIN EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $59K |
| MARK WHITE EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $59K |
| MAURISSA SILLITTI EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $58K |
| JOYCE BARRERA EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $57K |
| INCOME RESEARCH + MANAGEMENT EIN 04-2955404 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $52K |
| COMPREHENSIVE CONSULTING SOLUTIONS EIN 52-2099008 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $52K |
| ANTHONY LITTLE EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $49K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $48K |
| JOSEPHINE FELICE EIN 13-6092981 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $47K |
| SOCIALBRITE NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 3756 PIMLICO DR PLEASANTON, CA 94588 | $31K |
| KENNIE JACKMAN EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $29K |
| FREDERICK MALLER EIN 13-6092981 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $28K |
| TERRY SCHMIDT LLC EIN 45-3672353 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $24K |
| DAVIS VISION EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $22K |
| RACKSPACE EIN 74-3219359 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $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 | 7,085 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 353 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 7,438 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 177 | $357K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 2,156 | $2.2M |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 177 | $357K |
| Stop-loss / reinsurancereinsurance | ANTHEM LIFE INSURANCE | 6,928 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,928 | — |
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.