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 |
|---|---|---|---|
| ROBERT J. COHAN EIN 13-6804536 LEGAL BENEFITS | Legal; Direct payment from the plan Service code 29 | 29 LEGION DRIVE BERGENFIELD, NJ 07621 | $118K |
| WAGNER & ZWERMAN LLP EIN 11-2836481 ACCOUNTANT | Direct payment from the plan; Accounting (including auditing) Service code 10 | 201 OLD COUNTRY ROAD SUITE 202 MELVILLE, NY 11747 | $70K |
| MERRILL LYNCH EIN 13-5674085 INV. CUSTODIAN/MANAGER | Investment management fees paid directly by plan; Investment management; Custodial (securities) Service code 19 | 26 CENTURY HILL DRIVE LATHAM, NY 12110 | $67K |
| BLITMAN & KING LLP EIN 16-1047304 LEGAL | Legal; Direct payment from the plan Service code 29 | ONE PENN PLAZA SUITE 2601 NEW YORK, NY 101192699 | $64K |
| ANDREW MACKLE EIN 13-6804536 PLAN ADMINISTRATOR | Direct payment from the plan; Plan Administrator Service code 14 | 160 SOUTH CENTRAL AVENUE ELMSFORD, NY 10523 | $34K |
| THEODOR H. BROWN DDS EIN 13-3043628 DENTAL CONSULTANT | Direct payment from the plan; Consulting fees; Consulting (general) Service code 16 | 358 NORTH BROADWAY SLEEPY HOLLOW, NY 10591 | $28K |
| WALTER MASCH EIN 13-6804536 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 160 SOUTH CENTRAL AVENUE ELMSFORD, NY 10523 | $27K |
| BRIAN LUCYK EIN 13-6804536 LEGAL | Legal; Direct payment from the plan Service code 29 | 160 SOUTH CENTRAL AVENUE ELMSFORD, NY 10523 | $26K |
| BOLTON PARTNERS NORTHEAST, INC. EIN 27-3666661 ACTUARY | Actuarial; Direct payment from the plan Service code 11 | 9000 MIDLANTIC DRIVE SUITE 100 MOUNT LAUREL, NJ 08054 | $23K |
| TPA CORPORATION EIN 13-3329882 COMPUTER CONSULTANT | Consulting (general); Direct payment from the plan; Consulting fees Service code 16 | 531 ROUTE 52 SUITE 2 CARMEL, NY 10512 | $18K |
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 | 1,221 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,221 | 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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.