| 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.) | — | $30K | $30K | 0.88% |
| ACRISURE LLC3 Filed as: ACRISURE | 370 OLD COUNTRY RD, STE 200 GARDEN CITY, NY 11530 | FIRST UNUM LIFE INSURANCE COMPANY | $7K | $597 | $8K | 11.80% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD 2ND FLR HAUPPAUGE, NY 11788 | FIRST UNUM LIFE INSURANCE COMPANY | — | $4K | $4K | 5.88% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAGNACARE ADMIN. SERVICES, LLC EIN 11-3410766 NONE | Claims processing; Other insurance fees and expenses; Direct payment from the plan Service code 12 | — | $2.5M |
| TPA COMPUTER CORP EIN 13-3329882 NONE | Consulting (general); Other insurance fees and expenses Service code 16 | — | $476K |
| CARY KANE LLP EIN 20-1942442 NONE | Direct payment from the plan Service code 50 | — | $233K |
| JAMES GREEN ESQ EIN 11-2591565 NONE | Legal; Direct payment from the plan Service code 29 | — | $165K |
| SELE-DENT, INC. EIN 11-3310187 NONE | Other fees; Claims processing Service code 12 | — | $120K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Consulting (general); Actuarial; Direct payment from the plan Service code 11 | — | $99K |
| TELEMEDICINE MANAGEMENT, INC. NONE | Claims processing; Direct payment from the plan Service code 12 | 801 SPRINGDALE DR, STE 100 EXTON, PA 19341 | $96K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $93K |
| TEAMSTERS CENTER SERVICES FUND EIN 13-1964856 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $92K |
| AMPLIFON(USA), INC. EIN 41-1958972 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $79K |
| NATIONAL LABOR BENEFITS NONE | Claims processing; Direct payment from the plan Service code 12 | 2255 GLADES ROAD, SUITE 324A BOCA RATON, FL 33431 | $76K |
| JOSEPH GEREMINA EIN 13-6162404 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $57K |
| JOHN A. BOWEN EIN 13-6162404 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $57K |
| LISA BERRY EIN 13-6162404 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $39K |
| COLLEEN BRADY EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $32K |
| OPTUMRX EIN 45-3142512 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $22K |
| PERFECT PRINTING SOLUTIONS, INC. EIN 11-3104681 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $13K |
| SIGNATURE SECURITIES GROUP EIN 13-4120476 NONE | Investment management fees paid directly by plan; Investment management; Other fees Service code 28 | — | $12K |
| FLAGSTAR ADVISORS NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $10K |
| ANDRE GONZALES EIN 59-3671236 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $9K |
| SDBWU LOCAL 812 IBT EIN 13-5045803 AFFILIATED UNION | Other services; Direct payment from the plan Service code 49 | — | $8K |
| SEGAL SELECT INSURANCE SERVICES INC EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $6K |
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 | 2,605 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,007 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,612 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | 3,101 | $666K |
| Short-term disability | FIRST UNUM LIFE INSURANCE COMPANY | 780 | $68K |
| Stop-loss / reinsurancereinsurance | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | 2,802 | $3.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,101 | — |
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.