No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Claims processing; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Direct payment from the plan; Contract Administrator Service code 12 | — | $2.2M |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $399K |
| CATHERINE CHASE EIN 13-6694320 FINANCIAL ADVISOR | Direct payment from the plan; Employee (plan) Service code 30 | — | $293K |
| WILLIAM STANTON EIN 13-6694320 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $227K |
| YASIR ELTAYEB EIN 13-6694320 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $222K |
| BRADY MCGUIRE & STEINBERG, PC EIN 13-4089943 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $187K |
| VIRGINIA HARTMANN EIN 13-6694320 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $171K |
| LAURA ADDUCHIO EIN 13-6694320 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $158K |
| RICHARD LOPEZ EIN 13-6694320 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $150K |
| TELEMEDICINE MANANGEMENT, INC. EIN 26-1306606 NONE | Other services; Direct payment from the plan Service code 49 | — | $132K |
| MOHAMED KARAMALI EIN 13-6694320 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $112K |
| RICHARD VENEZIA EIN 13-6694320 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $110K |
| SAGE ADVISORY SERVICES, LTD. CO. EIN 74-2798841 INVEST MGR | Investment management fees paid directly by plan; Investment management Service code 28 | — | $107K |
| KATHERINE CLANCY EIN 13-6694320 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $88K |
| FLORENCE CHASE EIN 13-6694320 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $75K |
| DERRICK OWENS EIN 13-6694320 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| ANGEL MALDONADO EIN 13-6694320 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $67K |
| VANESSA ITURRALDE EIN 13-6694320 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $62K |
| CYNTHIA JOHNSON NONE | Direct payment from the plan; Consulting (general) Service code 16 | 288 NORTH KIRBY STREET SAN JACINTO, CA 92582 | $62K |
| OMILLA SINGH EIN 13-6694320 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $60K |
| JENNIFER MARINO EIN 13-6694320 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $57K |
| MARY VENEZIA EIN 13-6694320 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $55K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Investment management fees paid indirectly by plan; Custodial (securities); Investment management fees paid directly by plan; Investment management Service code 19 | — | $54K |
| MICHELLE PAONE EIN 13-6694320 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $49K |
| BASIL CASTROVINCI ASSOC., INC. EIN 13-2831500 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $48K |
| EFRAIN SEGOVIA EIN 13-6694320 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $47K |
| GRM INFORMATION SERVICES, INC. EIN 13-3468713 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $46K |
| LETICIA GONZALES EIN 13-6694320 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $46K |
| EVEREADY GRAPHICS NONE | Other services; Direct payment from the plan Service code 49 | 1500 ERICSON PLACE BRONX, NY 10461 | $38K |
| DENISSE ITURRALDE EIN 13-6694320 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $37K |
| BRADY MCQUIRE & STEINBERG, PC | Legal Service code 29 | — | $22K |
| CVS PHARMACY, INC. EIN 05-0340626 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $16K |
| CLARK & SAMPSON, INC | Insurance brokerage commissions and fees Service code 53 | — | $7K |
| MOSAIC DATA SERVICES, INC. NONE | Direct payment from the plan; Other services Service code 49 | PO BOX 83203 GAITHERSBURG, MD 208833203 | $5K |
| CLARKE & SAMPSON, INC. EIN 54-0657005 INSURANCE BROKER | 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 | 3,016 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 3,016 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 636 | $554K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 636 | — |
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.