| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BOULEVARD SUITE 200 HAUPPAUGE, NY 11788 | AMALGAMATED LIFE INSURANCE COMPANY | $1K | — | $1K | 5.84% |
| D.B.L. MANAGEMENT, INC.3 | 365 WILIS AVENUE MINEOLA, NY 11501 | AMALGAMATED LIFE INSURANCE COMPANY | $7 | — | $7 | 4.22% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE BLUE CROSS AND BLUE SHIELD EIN 23-7391136 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $378K |
| BENEFIT SERVICES EIN 52-1511210 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $252K |
| ANA TANG EIN 13-6129427 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $100K |
| JOANN EMMONS EIN 13-6129427 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $97K |
| STEINBERG, STECKLER & PICCIURRO, PC EIN 13-2665700 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $59K |
| FIRST ACTUARIAL CONSULTING TEAM EIN 42-1565552 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $44K |
| MICAELA MILLWOOD EIN 13-6129427 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $40K |
| KLEIN ZELMAN ROTHERMEL JACOBS & SCH EIN 13-2998136 NONE | Legal; Direct payment from the plan Service code 29 | — | $40K |
| ALICARE EIN 13-3432221 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $34K |
| HEALTHPLEX, INC. EIN 11-2714365 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $31K |
| AMALGAMATED BANK EIN 13-4920330 NONE | Custodial (securities); Investment management fees paid directly by plan Service code 19 | — | $29K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $22K |
| BROACH & STULBERG LLP NONE | Legal; Direct payment from the plan Service code 29 | ONE PENN PLAZA, SUITE 2016 NEW YORK, NY 10119 | $16K |
| SEGAL ROGERSCASEY EIN 13-2646110 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $10K |
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 | 1,314 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,325 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DENTCARE DELIVERY SYSTEMS | 489 | $538K |
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 830 | $23K |
| Short-term disability(2 contracts) | AMALGAMATED LIFE INSURANCE COMPANY | 4 | $438 |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 1,325 | $553K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,325 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.