| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO EASTERN STATES INC | — | THE UNION LABOR LIFE INSURANCE COMPANY | $137K | — | $137K | 3.26% |
| CONTEMPORARY STRATEGIC SOLUTIONS3 | — | THE UNION LABOR LIFE INSURANCE COMPANY | $85K | — | $85K | 2.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC EIN 23-7391136 NONE | Contract Administrator; Direct payment from the plan; Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | — | $2.4M |
| CONGRESS ASSET MANAGEMENT COMPANY EIN 04-2848965 NONE | Investment management; Investment management fees paid directly by plan; Investment management fees paid indirectly by plan; Soft dollars commissions Service code 28 | — | $716K |
| WILLIAM FARANDA EIN 13-6674743 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $268K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 AUDITOR | Direct payment from the plan; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $207K |
| SANDRA CHIN EIN 13-6674743 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $200K |
| DEREK DAVIS EIN 13-6674743 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $191K |
| SELEDENT INC EIN 11-3310187 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $186K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $163K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Insurance brokerage commissions and fees; Actuarial Service code 11 | — | $157K |
| MPC CAPITAL ADVISORS LLC EIN 27-2136582 NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $139K |
| SILVERCREST ASSET MANAGEMENT GROUP EIN 13-4194623 NONE | Soft dollars commissions; Investment management fees paid directly by plan; Investment management fees paid indirectly by plan; Investment management Service code 28 | — | $130K |
| ANNETTE HASSELL EIN 13-6674743 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $115K |
| STACEY BRAUN ASSOCIATES INC EIN 13-2889432 NONE | Soft dollars commissions; Investment management fees paid indirectly by plan; Investment management; Investment management fees paid directly by plan Service code 28 | — | $110K |
| MABEL LAU EIN 13-6674743 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $103K |
| DATAPRISE INC EIN 52-1920434 NONE | Direct payment from the plan; Consulting fees Service code 50 | — | $102K |
| OPTUMRX, INC EIN 33-0441200 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other fees Service code 15 | — | $97K |
| PITTA LLP EIN 26-3852082 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $89K |
| MARGARITA IONESCU EIN 13-6674743 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $74K |
| JUDITH LOZANO EIN 13-6674743 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $70K |
| MILAGROS RIVERA EIN 13-6674743 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $70K |
| JP MORGAN CHASE EIN 13-4994650 NONE | Other investment fees and expenses; Float revenue; Custodial (securities); Direct payment from the plan Service code 19 | — | $62K |
| OPTUMRX, INC. | Other fees Service code 99 | — | $49K |
| RACHEL MARTINELLI EIN 13-6674743 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $45K |
| KMR SYSTEMS CORPORATION EIN 13-3192128 NONE | Consulting fees; Direct payment from the plan Service code 50 | — | $43K |
| SEGAL SELECT INSURANCE SERVICES INC | Insurance brokerage commissions and fees Service code 53 | — | $10K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | Insurance brokerage commissions and fees; Consulting (general) Service code 16 | — | $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 | 5,335 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,296 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 6,631 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 1,254 | $2.5M |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 5,590 | $4.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,590 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.