| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL COMPANY EASTERN STATES IN | PO BOX 4058 CHURCH STREET STATION NEW YORK, NY 102614058 | RELIASTAR LIFE INSURANCE COMPANY | $72K | $0 | $72K | 3.50% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY, INC | 333 W 34TH STREET NEW YORK, NY 10001 | THE NORTH RIVER INSURANCE COMPANY | $45K | — | $45K | 4.00% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY, INC | 333 W 34TH STREET NEW YORK, NY 10001 | THE NORTH RIVER INSURANCE COMPANY | $17K | — | $17K | 4.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA EIN 06-0303370 NONE | Other services; Participant communication; Direct payment from the plan; Claims processing; Non-monetary compensation; Float revenue; Named fiduciary; Contract Administrator Service code 12 | — | $949K |
| SLEVIN & HART EIN 52-1708613 NONE | Legal; Direct payment from the plan; Non-monetary compensation Service code 29 | — | $495K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial; Direct payment from the plan; Consulting (general); Insurance brokerage commissions and fees Service code 11 | — | $302K |
| MULTIPLAN EIN 13-3068979 NONE | Claims processing; Direct payment from the plan; Other services Service code 12 | — | $267K |
| PATRICK MCCULLOUGH EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $248K |
| IOMM&P EIN 13-6020335 SPONSORING UNION | Direct payment from the plan; Plan Administrator Service code 14 | — | $227K |
| KENNETH RYAN EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $200K |
| DELTA DENTAL EIN 23-1667011 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $159K |
| MICHAEL MCCULLOUGH EIN 13-6696938 EMPLOYEE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $151K |
| ROFFE ENTERPRISES EIN 52-1650540 NONE | Other services; Direct payment from the plan Service code 49 | — | $132K |
| JOSEPH GIUSTO EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $125K |
| DAVID ROMANO EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $121K |
| PAULA PHILLIPS EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $117K |
| SHAWNA THORNTON EIN 13-6696938 EMPLOYEE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $113K |
| ANN MCCULLOUGH EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $105K |
| DEBRA CAVEY EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $93K |
| MARCIA FAWTHROP EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $90K |
| ALFRED MANZO EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $86K |
| JESSICA CHADWELL EIN 13-6696938 EMPLOYEE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $80K |
| ALICE ANDRZEJEWSKI EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $76K |
| RX SAVINGS LLC EIN 26-3642434 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $76K |
| DENISE ROMANO EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $73K |
| MARY JURNEY EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $65K |
| DIANE FITZBERGER EIN 13-6696938 EMPLOYEE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $64K |
| ROMNEY PATTISON EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $64K |
| SYDNIE BOSSOM EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $63K |
| CYNTHIA LAMARTINA EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $61K |
| RUSS BALZARINI EIN 13-6696938 EMPLOYEE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $61K |
| MAYRA ROBLES EIN 13-6696938 EMPLOYEE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $59K |
| KATHRYNE MCGEE EIN 13-6696938 EMPLOYEE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $59K |
| AMERICAN HEALTH HOLDINGS LLC EIN 31-1368946 NONE | Direct payment from the plan; Other services Service code 49 | — | $58K |
| JEAN ADAMS-MENCIK EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $58K |
| SEAN MEAD EIN 13-6696938 EMPLOYEE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $57K |
| VERA BRENNAN EIN 13-6696938 EMPLOYEE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $57K |
| LISA LINDAUER EIN 13-6696938 EMPLOYEE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $52K |
| MADELINE PETRELLI EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $52K |
| JENNIFER KELLNER EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $51K |
| GORFINE SCHILLER & GARDYN PA EIN 52-1231901 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $49K |
| CATHERINE GEOGHEGAN EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $47K |
| TERRENCE SHOWERS EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $46K |
| ELIZABETH GARY EIN 13-6696938 EMPLOYEE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $46K |
| MASHA JURNEY EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $43K |
| B.I.C.C EIN 36-2852073 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $41K |
| LAURY JACKSON EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $40K |
| JESSICA PERKINS EIN 13-6696938 EMPLOYEE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $36K |
| K.P. LAW, P.C. EIN 04-2746356 NONE | Legal; Direct payment from the plan Service code 29 | — | $33K |
| CATHLEEN BRADLEY EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $32K |
| KELSEY JOHNSON EIN 13-6696938 EMPLOYEE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $32K |
| TELUS HEALTH EIN 52-1883918 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $29K |
| DANIELLE RAU EIN 13-6696938 EMPLOYEE | Employee (plan sponsor); Direct payment from the plan Service code 35 | — | $28K |
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 | 3,874 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,526 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 5,400 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 3,332 | $145K |
| Stop-loss / reinsurancereinsurance(3 contracts, 2 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 3,061 | $3.6M |
| Other(2 contracts, 2 carriers) | PRUDENTIAL | 70 | $214K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,332 | — |
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.