| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO. EASTERN STATES INC. | 333 W 34TH STREET NEW YORK, NY 10001 | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | — | $23K | $23K | 0.74% |
| WHITMORE GROUP LTD3 Filed as: THE WHITMORE GROUP LTD | 370 OLD COUNTRY RD, STE 200 GARDEN CITY, NJ 11530 | FIRST UNUM LIFE INSURANCE COMPANY | $9K | — | $9K | 8.64% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD 2ND FLR HAUPPAUGE, NY 11788 | FIRST UNUM LIFE INSURANCE COMPANY | — | $7K | $7K | 6.35% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAGNACARE ADMIN. SERVICES, LLC EIN 11-3410766 NONE | Direct payment from the plan; Claims processing; Other insurance fees and expenses Service code 12 | — | $2.5M |
| TPA COMPUTER CORP EIN 13-3329882 NONE | Consulting (general); Other insurance fees and expenses Service code 16 | — | $469K |
| CARY KANE LLP EIN 20-1942442 NONE | Legal; Direct payment from the plan Service code 29 | — | $156K |
| JAMES GREEN ESQ EIN 11-2591565 NONE | Legal; Direct payment from the plan Service code 29 | — | $132K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $124K |
| DAVIS VISION INC. EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $123K |
| SELE-DENT, INC. EIN 11-3310187 NONE | Claims processing; Other fees Service code 12 | — | $121K |
| JAMES ROMANO EIN 13-6162404 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $105K |
| JOSEPH GEREMINA EIN 13-6162404 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $101K |
| TEAMSTERS CENTER SERVICES FUND EIN 13-1964856 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $87K |
| JAMES SCARPATI EIN 13-6162404 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| HC SMART EIN 47-1481165 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $53K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $49K |
| SIGNATURE SECURITIES GROUP EIN 13-4120476 NONE | Investment management; Other fees; Investment management fees paid directly by plan Service code 28 | — | $47K |
| TELEMEDICINE MANAGEMENT, INC. NONE | Claims processing; Direct payment from the plan Service code 12 | 801 SPRINGDALE DR, STE 100 EXTON, PA 19341 | $44K |
| OPTUM EIN 45-3142512 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $35K |
| LISA BERRY EIN 13-6162404 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $31K |
| GFAR HEALTH SERVICES LLC EIN 81-2546422 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $27K |
| SDBWU LOCAL 812 IBT EIN 13-5045803 AFFILIATED UNION | Other services; Direct payment from the plan Service code 49 | — | $24K |
| ANDRE GONZALES EIN 59-3671236 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $14K |
| PERFECT PRINTING SOLUTIONS, INC. EIN 11-3104681 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $12K |
| GENERAL VISION SERVICES LLC EIN 11-3580576 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $10K |
| ADP, INC. EIN 22-1467904 NONE | Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 10 | — | $9K |
| DYNAMIX CONSULTING INC NONE | Direct payment from the plan; Consulting (general) Service code 16 | 50 FIFTHE AVENUE, 2ND FLR PELHAM, NY 10803 | $5K |
| LAW OFFICE OF ROLAND ACEVEDO NONE | Legal; Direct payment from the plan Service code 29 | 250 PARK AVE., FL 7 NEW YORK, NY 10177 | $5K |
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 | 2,780 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,068 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,848 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | 3,644 | $782K |
| Short-term disability | FIRST UNUM LIFE INSURANCE COMPANY | 943 | $109K |
| Stop-loss / reinsurancereinsurance | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | 3,010 | $3.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,644 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.