| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MSM GENERAL AGENCY INC3 | PO BOX 060470 STATEN ISLAND, NY 10306 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $71K | — | $71K | 3.61% |
| MSM GENERAL AGENCY INC3 | PO BOX 060470 STATEN ISLAND, NY 10306 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | — | $33K | $33K | 3.72% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NYHTC - HEALTH CENTER, INC. EIN 13-1595091 RELATED FUND | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $8.6M |
| EMPIRE BLUECROSS/BLUESHIELD EIN 23-7391136 CLAIMS PROCESSOR | Investment management fees paid directly by plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Contract Administrator; Float revenue Service code 12 | 1 LIBERTY STREET NEW YORK, NY 10006 | $5.4M |
| HACELS LLC LANDLORD | Direct payment from the plan; Other fees Service code 50 | 709 EIGHTH AVENUE NEW YORK, NY 10016 | $1.3M |
| PITTA LLP EIN 26-3852082 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $343K |
| CONNECT YOUR CARE CLAIMS PROCESSOR | Direct payment from the plan; Claims processing Service code 12 | 307 INTERNATIONAL CIRCLE COCKEYSVILLE, MD 21030 | $221K |
| ELLENOFF GROSSMAN & SCHOLE LLP ATTORNEY | Legal; Direct payment from the plan Service code 29 | 1345 SIXTH AVENUE NEW YORK, NY 10105 | $196K |
| THE SEGAL COMPANY EIN 13-1835864 ACTUARY | Direct payment from the plan; Actuarial Service code 11 | — | $169K |
| RELAY HEALTH DATA PROCESSOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting fees; Direct payment from the plan Service code 15 | 450 LINDBERGH DRIVE MOON TOWNSHIP, PA 15108 | $113K |
| CHANGE HEALTHCARE DATA PROCESSOR | Consulting fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 21987 NETWORK PLACE CHICAGO, IL 60673 | $96K |
| BMS CAPITAL PARTNERS CONSULTING | Direct payment from the plan; Consulting (pension) Service code 17 | 757 3RD AVENUE , 22ND FLOOR NEW YORK, NY 10017 | $84K |
| KANE KESSLER, PC EIN 13-2672411 ATTORNEY | Direct payment from the plan Service code 50 | — | $65K |
| MSPC CPAS & ADVISORS EIN 22-2951202 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $65K |
| MORGAN STANLEY INVESTMENT ADVISOR | Direct payment from the plan; Investment advisory (plan) Service code 27 | 1300 THAMES STREET WHARF BALTIMORE, MD 212319907 | $64K |
| JBI EIN 22-3538953 INSURANCE CONSULTANT | Direct payment from the plan; Insurance services Service code 23 | — | $30K |
| OFFICE OF THE IMPARTIAL CHAIRPERSON EIN 13-1931878 ARBITRATOR | Direct payment from the plan; Legal Service code 29 | 321 WEST 44TH STREET, SUITE 400 NEW YORK, NY 10036 | $24K |
| AUTOMATIC DATA PROCESSING INC. EIN 13-3036745 PAYROLL PROCESSOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $22K |
| IRON MOUNTAIN INTELLECTUAL STORAGE SERVICES | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | PO BOX 27131 NEW YORK, NY 10087 | $22K |
| ABBATE DEMARINIS CPAS EIN 20-4943540 ACCOUNTANT | Direct payment from the plan Service code 50 | 377 OAK STREET, SUITE 209 GARDEN CITY, NY 11530 | $10K |
| RNK & ASSOCIATES EIN 26-2567636 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $9K |
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 | 21,738 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 21,738 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 18,713 | $896K |
| Other | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 11,557 | $2.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 18,713 | — |
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."
No prospect flags tripped on this filing.