No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE BLUE CROSS BLUE SHIELD EIN 23-7391136 NONE | Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $3.8M |
| J.P. MORGAN INVESTMENT MANAGEMENT EIN 13-3200244 NONE | Investment management; Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $193K |
| GUARDIAN LIFE INSURANCE CO EIN 13-5123390 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $123K |
| LOOMIS SAYLES TRUST COMPANY, LLC EIN 84-6391546 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $120K |
| LORD ABBETT & CO. LLC EIN 13-5620131 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $111K |
| WCM INVESTMENT MANAGEMENT, LLC EIN 95-3046237 NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | — | $106K |
| COLLERAN, O'HARA AND MILLS EIN 11-2326314 NONE | Legal Service code 29 | — | $91K |
| JOINT MULTI SERVICES ASSOCIATES LTD NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 89 JOSEPH AVENUE STATEN ISLAND, NY 10314 | $85K |
| ROBERT MAGUIRE EIN 13-6178513 EMPLOYEE | Recordkeeping fees Service code 64 | — | $83K |
| MARK NARDELLA EIN 13-6178513 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $81K |
| THE SEGAL COMPANY INC EIN 13-1835864 NONE | Direct payment from the plan Service code 50 | — | $77K |
| MANNING & NAPIER ADVISORS INC. EIN 16-0995736 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $76K |
| MISSOURI VALLEY PARTNERS INC EIN 43-1898506 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $60K |
| SEAN M. BOYLE CONSULTING INC EIN 84-4121653 INTERIM FUND DIRECTOR | Recordkeeping fees; Employee (plan) Service code 30 | — | $54K |
| BAHL & GAYNOR, INC. EIN 31-1297139 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $52K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $46K |
| INNOVATIVE SOFTWARE SOLUTIONS EIN 23-2182079 NONE | Investment management fees paid directly by plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $42K |
| ACRISURE, LLC EIN 26-3554645 NONE | Direct payment from the plan; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $42K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $39K |
| MICHAEL WENZEL EIN 13-6178513 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $33K |
| BARBARA ARMSTRONG EIN 13-6178513 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $32K |
| VANYA WEST EIN 13-6178513 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $32K |
| EVELYN RODRIGUEZ EIN 13-6178513 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $31K |
| MICHELLE A SCHULTZ EIN 13-6178513 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $30K |
| ROOKMINI NOHAR EIN 13-6178513 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $28K |
| CINTRA CAMERON-LEBRON EIN 13-6178513 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $26K |
| KEMEICHA HARRISON EIN 13-6178513 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $26K |
| STEVEN DAVI PLLC NONE | Legal; Direct payment from the plan Service code 29 | 270 MADISON AVE. RM. 301 NEW YORK, NY 10016 | $24K |
| ZIEGLER CAPITAL MGMT., LLC EIN 85-0597999 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $20K |
| MORGAN STANLEY SMITH BARNEY LLC EIN 20-8764829 NONE | Other investment fees and expenses Service code 72 | — | $10K |
| ROGER E. MAHER NONE | Legal; Direct payment from the plan Service code 29 | 23 83RD STREET BROOKLYN, NY 11209 | $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 | 2,002 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 602 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,604 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.