| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WESTWOOD PLANS, INC.3 | 6 WHITE PINE LANE SETAUKET, NY 11733 | UNITEDHEALTHCARE INSURANCE COMPANY | $5K | — | $5K | 3.75% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $675 | $675 | 0.52% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MICHAEL WIEDERHOLD EIN 13-6162367 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $87K |
| EISNER & DICTOR P.C. EIN 13-3062532 UNION ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $61K |
| WILLIAM SIMPKINS EIN 13-6162367 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $49K |
| MARIAN OCONNOR EIN 13-6162367 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $47K |
| ELLEN ESCHUK EIN 13-6162367 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $43K |
| MARITZA DIAZ EIN 13-6162367 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $36K |
| GOULD, KOBRICK & SCHLAPP EIN 13-3082707 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $26K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $25K |
| SYNTONIC SYSTEMS EIN 13-2925049 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $23K |
| MERRILL LYNCH WEALTH MANAGEMENT INVESTMENT CUSTODIAN | Custodial (securities) Service code 19 | 7 ROSZEL ROAD FLOOR 4 PRINCETON, NJ 08540 | $22K |
| MSI TECHNOLOGIES LLC NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 1055 PARSIPPANY BLVD SUITE 205-A PARSIPPANY, NJ 07054 | $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 | 510 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 314 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 824 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 6 | $129K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.