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 | $129K |
| BAMUNDO, ZWAL & SCHERMERHORN LLP EIN 02-0534303 LEGAL BENEFITS | Legal; Direct payment from the plan Service code 29 | 111 JOHN STREET, SUITE 1100 NEW YORK, NY 10038 | $71K |
| LOWER HUDSON VALLEY E.A.P. EIN 13-3240307 MEDICAL CONSULTANT | Consulting fees; Direct payment from the plan; Consulting (general) Service code 16 | 3505 HILL BLVD, SUITE A YORKTOWN HEIGHTS, NY 10598 | $36K |
| GETTRY MARCUS CPA, P.C. EIN 13-3418879 ACCOUNTANT | Accounting (including auditing); Direct payment from the plan Service code 10 | 88 FROEHLICH FARM BLVD, 3RD FLOOR WOODBURY, NY 11797 | $34K |
| THEODOR H. BROWN DDS EIN 13-3043628 DENTAL CONSULTANT | Consulting (general); Consulting fees; Direct payment from the plan Service code 16 | 36 ST. THOMAS DRIVE PALM BEACH GARDENS, FL 33418 | $28K |
| BOLTON PARTNERS NORTHEAST, INC. EIN 27-3666661 ACTUARY | Direct payment from the plan; Actuarial Service code 11 | 325 SENTRY PKWY, BLDG 5 W, STE 200 BLUE BELL, PA 19422 | $24K |
| EMILY A. ROSCIA EIN 13-6804536 LEGAL | Legal; Direct payment from the plan Service code 29 | 160 SOUTH CENTRAL AVENUE ELMSFORD, NY 10532 | $15K |
| TPA CORPORATION EIN 13-3329882 COMPUTER CONSULTANT | Consulting fees; Consulting (general); Direct payment from the plan Service code 16 | PO BOX 433 CARMEL, NY 10512 | $10K |
| BLITMAN & KING LLP EIN 16-1047304 LEGAL | Legal; Direct payment from the plan Service code 29 | 443 N. FRANKLIN STREET, SUITE 300 SYRACUSE, NY 13204 | $9K |
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 | 1,577 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,577 | 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.