| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 | 333 WEST 34TH STREET NEW YORK, NY 10001 | AMALGAMATED LIFE INSURANCE COMPANY | — | $35K | $35K | 6.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LO. 802 ASSOC. MUSICIANS OF GR. NY EIN 13-0452820 RELATED UNION | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $749K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Claims processing; Contract Administrator Service code 12 | — | $179K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial Service code 11 | — | $178K |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services; Float revenue; Claims processing Service code 12 | — | $138K |
| SAVE ON SP, LLC EIN 47-3603390 NONE | Claims processing Service code 12 | — | $111K |
| COHEN, WEISS & SIMON, LLP EIN 13-1592323 UNION'S ATTORNEY | Legal Service code 29 | — | $64K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal Service code 29 | — | $61K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $48K |
| THE SEGAL COMPANY 13-1835864 | Actuarial Service code 11 | — | $43K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Other fees Service code 99 | — | $43K |
| GOULD KOBRICK & SCHLAPP PC EIN 13-3082707 UNION'S ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $42K |
| EXPRESS SCRIPTS, INC EIN 43-1420563 NONE | Claims processing; Contract Administrator Service code 12 | — | $20K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan) Service code 27 | — | $17K |
| KOBGO ASSOCIATES, INC EIN 13-2751089 NONE | Accounting (including auditing) Service code 10 | — | $9K |
| ADP INC. EIN 22-2743714 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $9K |
| SEGAL SELECT INSURANCE SERVICES 46- | Insurance brokerage commissions and fees Service code 53 | — | $8K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | 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 | 1,723 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 20 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,743 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF NEW YORK | 2,033 | $735K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK | 2,005 | $89K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 626 | $580K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,033 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.