No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services; Claims processing Service code 12 | — | $1.7M |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 AUDITOR | Accounting (including auditing) Service code 10 | — | $343K |
| CATHERINE CHASE EIN 13-6694320 EMPLOYEE | Employee (plan) Service code 30 | — | $272K |
| BRADY MCGUIRE & STEINBERG, PC EIN 13-4089943 ATTORNEY | Legal Service code 29 | — | $248K |
| WILLIAM STANTON EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $219K |
| YASIR ELTAYEB EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $217K |
| LAURA ADDUCHIO EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $174K |
| RICHARD LOPEZ EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $164K |
| TELEMEDICINE MANAGEMENT, INC. EIN 26-1306606 NONE | Other services Service code 49 | — | $164K |
| VIRGINIA HARTMANN EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $159K |
| SAGE ADVISORY SERVICES, LTD. CO. EIN 74-2798841 INVEST. MGR. | Investment management; Investment management fees paid directly by plan Service code 28 | — | $102K |
| RICHARD VENEZIA EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $101K |
| MOHAMED KARAMALI EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $101K |
| KATHERINE RONNERMAN EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $80K |
| CYNTHIA JOHNSON NONE | Consulting fees Service code 70 | 288 NORTH KIRBY STREET SAN JACINTO, CA 92582 | $71K |
| DERRICK OWENS EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $64K |
| VANESSA ITURRALDE EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $63K |
| ANGEL MALDONADO EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $63K |
| SIXTO GONZALEZ III EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $58K |
| MARY VENEZIA EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $55K |
| LETICIA GONZALEZ EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $53K |
| OMILLA SINGH EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $51K |
| JENNIFER MARINO EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $47K |
| CHRISTA ADDUCHIO EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $43K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Employee (plan) Service code 30 | — | $43K |
| DENISSE ITURRALDE EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $37K |
| FLORENCE CHASE EIN 13-6694320 NONE | Employee (plan) Service code 30 | — | $33K |
| CVS PHARMACY, INC. EIN 05-0340626 NONE | Claims processing Service code 12 | — | $26K |
| BASIL CASTROVINCI ASSOC., INC. EIN 13-2831500 NONE | Actuarial Service code 11 | — | $26K |
| GRM DOCUMENT MANAGEMENT EIN 13-3468713 NONE | Copying and duplicating Service code 36 | — | $26K |
| CLARK & SAMPSON, INC EIN 54-0657005 INSURANCE BROKER | Insurance brokerage commissions and fees Service code 53 | — | $8K |
| ORACLE AMERICA, INC. EIN 94-2805249 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $6K |
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 | 2,900 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,900 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 709 | $456K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 709 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.