| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 | 333 W 34TH STREET NEW YORK, NY 100012417 | RELIASTAR LIFE INSURANCE COMPANY OF NY | $41K | $0 | $41K | 5.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAGNACARE ADMIN. SERVICES, LLC EIN 11-3410766 NONE | Claims processing Service code 12 | — | $308K |
| EMPIRE HEALTHCHOICE ASSURANCE INC. EIN 23-7391136 NONE | Float revenue; Other services; Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $173K |
| SMITH AFFILIATED CAPITAL CORP. EIN 13-3105799 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $37K |
| SELE-DENT, INC. EIN 11-3310187 NONE | Claims processing Service code 12 | — | $26K |
| THE SEGAL COMPANY, INC. EIN 13-1835864 CONSULTANT | Consulting (general) Service code 16 | — | $26K |
| SYNTONIC SYSTEMS, INC. EIN 13-2925049 COMPUTER PROGRAMMING | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $26K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 AUDITOR | Accounting (including auditing) Service code 10 | — | $25K |
| BARNES IACCARINO & SHEPHERD LLP EIN 26-3858697 ATTORNEY | Legal Service code 29 | — | $16K |
| SEGAL ROGERSCASEY EIN 13-2646110 NONE | Investment advisory (plan) Service code 27 | — | $15K |
| MSI TECHNOLOGIES EIN 22-3276479 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $6K |
| BANK OF AMERICA EIN 94-1687665 NONE | Custodial (securities); Float revenue Service code 19 | — | $4K |
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 | 668 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 673 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY OF NY | 655 | $739K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 655 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.