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 |
|---|---|---|---|
| MILA MANAGED HEALTH CARE EIN 13-3968546 HEALTH INSURANCE | Insurance services Service code 23 | 55 BROADWAY 27TH FLOOR NEW YORK, NY 10006 | $972K |
| P. WALSH EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $387K |
| L. BESS EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $364K |
| D. GAUDIOSO EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $351K |
| L. RICCI EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $327K |
| A. PIMPINELLA EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $305K |
| J. BALSAMO EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $279K |
| K. DEMPSEY EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $249K |
| M. PEREDA EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $246K |
| R. COLOZZA EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $229K |
| S. SCOLLO EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $228K |
| A. BROWN EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $210K |
| M. MAZZEI-CSAKAI EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $201K |
| S. PESCE EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $191K |
| J. STOLPINSKI EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $186K |
| P. BESS EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $185K |
| S. GALOVIC EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $184K |
| V. DELUCA EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $178K |
| A. MARTINEZ-QUAGLIATA EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $176K |
| B. RIVERA EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $175K |
| C. MANON EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $164K |
| V. MCMAHON EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $161K |
| A. DIAMOND EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $145K |
| J. HARRIS EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $134K |
| E. DENOIA EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $134K |
| F. FRESCO EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $129K |
| C. PATEL EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $128K |
| R. GOLDEN EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $122K |
| E. LERMA EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $122K |
| CONVERGE TECHNOLOGY SOLUTIONS EIN 82-2782457 OTHER SERVICES | Other services Service code 49 | 6 BLACKSTONE VALLEY PLACE SUITE 205 LINCOLN, RI 02865 | $119K |
| S. LIPSKI EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $117K |
| M. GUTIERREZ EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $105K |
| V. RISPOLI EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $98K |
| M. GAROFALO EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $97K |
| P. FONTANEZ EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $93K |
| C. RATTI EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $93K |
| G. GWYNN EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $93K |
| S. ROBBINS EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $92K |
| L. CENTENO EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $90K |
| K. DALONGES EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $89K |
| F. TORRES EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $87K |
| J. MOE EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $86K |
| K. PICONE EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $84K |
| L. GUTIERREZ EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $81K |
| P. WEISS EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $79K |
| THE LAMBOS FIRM, LLP EIN 13-3864093 NYSA COUNSEL | Legal Service code 29 | 303 SOUTH BROADWAY SUITE 410 TARRYTOWN, NY 10591 | $77K |
| J. SANTORA EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $73K |
| C. ALVARADO EIN 13-6555423 EMPLOYEE | Employee (plan) Service code 30 | 10 EXCHANGE PLACE SUITE 1400 JERSEY CITY, NJ 07302 | $67K |
| MAZZOLA MARDON PC EIN 13-3303633 ILA COUNSEL | Legal Service code 29 | 26 BROADWAY 17TH FLOOR NEW YORK, NY 10004 | $64K |
| DESENA & CO.CPAS,LLC EIN 20-0609534 AUDITOR | Accounting (including auditing) Service code 10 | 100 EAGLE ROCK SUITE 110 EAST HANOVER, NJ 079363149 | $63K |
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 | 3,713 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,346 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 8,059 | 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."
No prospect flags tripped on this filing.