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 |
|---|---|---|---|
| MERRILL LYNCH EIN 13-5674085 INV. CUSTODIAN/MANAGER | Investment management; Investment management fees paid directly by plan; Custodial (securities) Service code 19 | 26 CENTURY HILL DRIVE LATHAM, NY 12110 | $133K |
| BAMUNDO, ZWAL & SCHERMERHORN, LLP EIN 02-0534303 LEGAL | Legal; Direct payment from the plan Service code 29 | 111 JOHN STREET , SUITE 1100 NEW YORK, NY 10038 | $61K |
| 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 | $34K |
| THEODOR H. BROWN DDS EIN 13-3043628 DENTAL CONSULTANT | Direct payment from the plan; Consulting (general); Consulting fees Service code 16 | 358 NORTH BROADWAY SLEEPY HOLLOW, NY 10591 | $28K |
| EMILY A. ROSCIA EIN 13-6804536 LEGAL | Legal; Direct payment from the plan Service code 29 | 160 SOUTH CENTRAL AVENUE ELMSFORD, NY 10532 | $26K |
| BOLTON PARTNERS NORTHEAST, INC. EIN 27-3666661 ACTUARY | Actuarial; Direct payment from the plan Service code 11 | 9000 MIDLANTIC DRIVE MOUNT LAUREL, NJ 08054 | $24K |
| LOWER HUDSON VALLEY E.A.P. EIN 13-3240307 MEDICAL CONSULTANT | Consulting (general); Consulting fees; Direct payment from the plan Service code 16 | 3505 HILL BLVD, SUITE A YORKTOWN HEIGHTS, NY 10598 | $9K |
| TPA CORPORATION EIN 13-3329882 COMPUTER CONSULTANT | Consulting fees; Direct payment from the plan; Consulting (general) Service code 16 | PO BOX 433 CARMEL, NY 10512 | $8K |
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 | 1,613 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,613 | 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.