| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 | 333 W 34TH STREET NEW YORK, NY 100012417 | AMALGAMATED LIFE INSURANCE COMPANY | $11K | — | $11K | 5.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 23-7391136 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Direct payment from the plan; Other services; Claims processing; Float revenue Service code 12 | — | $138K |
| THE SEGAL CO (EASTERN STATES) INC EIN 13-1835864 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $48K |
| SMITH AFFILIATED CAPITAL CORP EIN 13-3105799 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $37K |
| SYNTONIC SYSTEMS INC EIN 13-2925049 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $28K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $27K |
| BARNES IACCARINO & SHEPHERD LLP EIN 56-3858697 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $16K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $15K |
| SELE-DENT INC EIN 11-3310187 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $8K |
| MSI TECHNOLOGIES, LLC EIN 22-3827881 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $7K |
| ALPHONSE FALCO EIN 13-6119572 NONE | Trustee (individual); Direct payment from the plan Service code 20 | — | $6K |
| TERRY OHLINGER EIN 13-6119572 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $6K |
| BANK OF AMERICA EIN 94-1687665 NONE | Direct payment from the plan; Custodial (securities); Float revenue; Account maintenance fees 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 | 202 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 202 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 239 | $194K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 239 | — |
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.