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 |
|---|---|---|---|
| THE LAMBOS FIRM LLP EIN 13-3864093 NYSA COUNSEL | Legal Service code 29 | 303 SOUTH BROADWAY SUITE 410 TARRYTOWN, NY 10591 | $38K |
| EDGIAN PRESS INC. EIN 11-1967319 PRINTER | Copying and duplicating Service code 36 | 10 BETHPAGE ROAD HICKSVILLE, NY 11801 | $25K |
| MARRINAN & MAZZOLA MARDON, P.C. EIN 13-3303633 ILA COUNSEL | Legal Service code 29 | 26 BROADWAY 17TH FLOOR NEW YORK, NY 10004 | $13K |
| J. CALDWELL CORP. EIN 83-0427830 LUNCHEON | Other services Service code 49 | 25 BROAD STREET NEW YORK, NY 10004 | $10K |
| INTERNATIONAL SCHOLARSHIP & TUITION EIN 62-1247492 EVALUATION | Other services Service code 49 | 1321 MURFREESBORO PIKE SUITE 800 NASHVILLE, TN 372172698 | $6K |
| DESENA & COMPANY EIN 20-0609534 AUDITOR | Accounting (including auditing) Service code 10 | 100 EAGLE ROCK AVENUE SUITE 110 EAST HANOVER, NJ 07936 | $4K |
| CATE FALLON EIN 39-7584745 PHOTOGRAPHER | Other services Service code 49 | 100 SULLIVAN STREET APT 1G NEW YORK, NY 10012 | $2K |
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 | 3,264 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 6,564 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 9,828 | 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.