Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingNo prospect flags tripped on this filing.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
No insurance carriers on this filing. Self-funded health and benefits plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 32,168 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 32,168 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
This filing has no Schedule A insurance contracts. This is typical of fully self-funded plans. 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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NYHTC HEALTH CENTER INC EIN 13-1595091 RELATED ENTITY | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $518K |
| ELLENOFF GROSSMAN & SCHOLE LLP EIN 13-3643185 ATTORNEYS | Legal; Direct payment from the plan Service code 29 | — | $39K |
| PITTA LLP EIN 20-4007475 ATTORNEYS | Legal; Direct payment from the plan Service code 29 | — | $30K |
| NYHTC HEALTH BENEFITS FUND EIN 13-6126923 RELATED ENTITY | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $27K |
| MSPC EIN 22-2951202 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $21K |
| JP MORGAN EIN 13-4494650 BANK | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $10K |
| THE SEGAL COMPANY EIN 13-1835864 ACTUARY | Direct payment from the plan; Actuarial Service code 11 | — | $5K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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11 filings · 2015 to 2025