| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| QUANTUM FINANCIAL STRATEGIES3 | 118 NORTH BEDFORD ROAD SUITE 100 MT KISCO, NY 10549 | AMALGAMATED LIFE INSURANCE COMPANY | $384 | — | $384 | 6.00% |
| JACK E WILSON3 Filed as: JACK WILSON | 320 LUPINE DR KNOXVILLE, TN 37924 | AFLAC | $165 | — | $165 | 6.00% |
| PACKES J D CORP3 | 92 NORTH AVENUE SUITE 102 NEW ROCHELLE, NY 10801 | AFLAC | $61 | — | $61 | 2.22% |
| AMERICAN TEL-TEK INC.3 | 92 NORTH AVENUE STE 102 NEW ROCHELLE, NY 10801 | AFLAC | $37 | — | $37 | 1.35% |
| KEVIN MCCARTHY3 | 197 LANG DR NORTH KINGSTOWN, RI 02852 | AFLAC | $37 | — | $37 | 1.35% |
| DOMINICK R SIRACUSA3 Filed as: DOMINICK SIRACUSA | 225 DOLSON AVE SUITE 304 MIDDLETOWN, NY 10940 | AFLAC | $16 | — | $16 | 0.58% |
| MCINERNEY GROUP LLC3 | 580 WHITE PLAINS ROAD SUITE 115 TARRYTOWN, NY 10591 | AFLAC | $8 | — | $8 | 0.29% |
| MELISA SCHOFIELD3 | 932 E VOLK LN MIDDLETOWN, CT 06457 | AFLAC | $4 | — | $4 | 0.15% |
| WENDY CALIENDO3 Filed as: WENDY M CALIENDO | 1036 MAGGIE RD NEWBURGH, NY 12550 | AFLAC | $1 | — | $1 | 0.04% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC EIN 23-7391136 CLAIMS PROCESSING | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Contract Administrator; Float revenue Service code 12 | 14 WALL STREET NEW YORK, NY 10005 | $122K |
| AMALGAMATED EMPLOYEE BENEFITS ADMIN EIN 13-3432221 CLAIMS PROCESSING | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 | $85K |
| QUANTUM FINANCIAL STRATEGIES EIN 13-4017745 MEDICAL CONSULTING | Direct payment from the plan; Consulting (general) Service code 16 | 118 NORTH BEDFORD ROAD MOUNT KISCO, NY 10549 | $76K |
| PETER VAUPEL EIN 13-6179467 PRESIDENT | Direct payment from the plan; Plan Administrator Service code 14 | 629 FIFTH AVENUE PELHAM, NY 10803 | $67K |
| EDUARDO MELENDEZ EIN 13-6179467 SECRETARY/TREASURER | Direct payment from the plan; Employee (plan) Service code 30 | 629 FIFTH AVENUE PELHAM, NY 10803 | $34K |
| DONNA COLANTUONO EIN 13-6179467 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 629 FIFTH AVENUE PELHAM, NY 10803 | $25K |
| WAGNER & ZWERMAN LLP EIN 11-2836481 ACCOUNTANT | Accounting (including auditing); Direct payment from the plan Service code 10 | 201 OLD COUNTRY ROAD STE 202 MELVILLE, NY 117472731 | $25K |
| BARNES, IACCARINO & SHEPHERD LLP EIN 26-3858697 ATTORNEY | Legal; Direct payment from the plan Service code 29 | 3 SURREY LANE HEMPSTEAD, NY 11550 | $22K |
| CYNOMYS, INC. EIN 82-2668930 ACTUARIAL | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | 16170 POPPY SEED CIRCLE UNIT 902 DELRAY BEACH, FL 33484 | $20K |
| D.D. SERVICES, INC. EIN 11-2705347 CLAIMS PROCESSING | Direct payment from the plan; Claims processing Service code 12 | 265 POST AVENUE SUITE 340 WESTBURY, NY 11590 | $12K |
| ALICARE MEDICAL MANAGEMENT EIN 13-3860528 CLAIMS PROCESSING | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | 8C INDUSTRIAL WAY SALEM, NH 03079 | $11K |
| CVS PHARMACY, INC. EIN 05-0340626 CLAIMS PROCESSING | Direct payment from the plan; Claims processing Service code 12 | 2215 SANDERS ROAD NBT-5 NORTHBROOK, IL 60062 | $7K |
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 | 318 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 321 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | AMALGAMATED LIFE INSURANCE COMPANY | 369 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 369 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.