| 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.) | — | — | $0 | 0.00% |
| ACRISURE LLC3 Filed as: ACRISURE INSURANCE PARTNERS | 100 OTTOWA AVE. SW GRAND RAPIDS, MI 49503 | FIRST UNUM LIFE INSURANCE COMPANY | $8K | $603 | $8K | 9.21% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD 2ND FLR HAUPPAUGE, NY 11788 | FIRST UNUM LIFE INSURANCE COMPANY | — | $4K | $4K | 4.36% |
| 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 | — | $386K |
| CARY KANE LLP EIN 20-1942442 NONE | Direct payment from the plan Service code 50 | — | $200K |
| 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 | — | $110K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $99K |
| TELEMEDICINE MANAGEMENT, INC. NONE | Direct payment from the plan; Claims processing Service code 12 | 801 SPRINGDALE DR, STE 100 EXTON, PA 19341 | $96K |
| TEAMSTERS CENTER SERVICES FUND EIN 13-1964856 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $91K |
| AMPLIFON(USA), INC. EIN 41-1958972 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $78K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $55K |
| NATIONAL LABOR BENEFITS NONE | Direct payment from the plan; Claims processing Service code 12 | 2255 GLADES ROAD, SUITE 324A BOCA RATON, FL 33431 | $53K |
| JOSEPH GEREMINA EIN 13-6162404 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $41K |
| LISA BERRY EIN 13-6162404 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $40K |
| OPTUMRX EIN 45-3142512 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $26K |
| FLAGSTAR ADVISORS NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $22K |
| PERFECT PRINTING SOLUTIONS, INC. EIN 11-3104681 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $11K |
| SDBWU LOCAL 812 IBT EIN 13-5045803 AFFILIATED UNION | Direct payment from the plan; Other services Service code 49 | — | $7K |
| SEGAL SELECT INSURANCE SERVICES INC | Insurance brokerage commissions and fees Service code 53 | — | $0 |
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 | 2,514 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,016 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,530 | 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 | 743 | $92K |
| Stop-loss / reinsurancereinsurance | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | 2,688 | $3.1M |
| 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."
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.