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 |
|---|---|---|---|
| SAMY BESHAY NONE | Direct payment from the plan; Legal Service code 29 | 401 BROADWAY SUITE 1602 NEW YORK, NY 10013 | $731K |
| KIM & BAE PC EIN 20-0568070 NONE | Direct payment from the plan; Legal Service code 29 | — | $464K |
| SNYDER, ALAN M EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $260K |
| ANDREW GONZALEZ, ESQ NONE | Direct payment from the plan; Legal Service code 29 | 18 EAST 41ST STREET 6TH FLOOR NEW YORK, NY 10601 | $253K |
| HUSS, ISADORE EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $212K |
| RUSSO & RUSSO PC EIN 22-2067717 NONE | Direct payment from the plan; Legal Service code 29 | — | $206K |
| CUGGY, OLIVIA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $202K |
| CHIU, VIVEN Y EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $196K |
| H & H GRAPHIC PRINTING COMMUNICATIO EIN 06-1648637 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $179K |
| PROJANSKY, DAVID EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $165K |
| FEKERT, JAMES D EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $159K |
| RILEY, CHRISTOPHER M EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $155K |
| ZEITLIN & ZEITLIN, P.C. EIN 11-3415046 NONE | Direct payment from the plan; Legal Service code 29 | — | $152K |
| MCGOWEN, STEVEN C EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $151K |
| BARNETT, KIM L EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $151K |
| FREUDENBERGER, MICHELLE EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $146K |
| MASON, EVELYN I EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $145K |
| PALMA, KIRK K EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $145K |
| DOMINGUEZ, HUMBERTO EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $143K |
| ANTROBUS, NATALIA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $142K |
| ORTECHO, ELIZABETH EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $138K |
| TURLEY, KATHLEEN EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $138K |
| AGUIRRE, GLORIA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $137K |
| RODRIGUEZ, PASCUALA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $124K |
| LANZO, DAMARIS EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $117K |
| MANCHERIL, ROWENA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $102K |
| THOMSON ELITE EIN 41-1426973 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $100K |
| TISHLER, LESLIE G EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $100K |
| HOWELL, LISA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $94K |
| KENNETH LITWACK, ESQ EIN 11-3294259 NONE | Direct payment from the plan; Legal Service code 29 | — | $89K |
| GONZALEZ-LABADIE, DAISY EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $85K |
| KHAN, ROOKMINIE EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $84K |
| FIGUEROA, JUAN EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $84K |
| PAULINO, PAULIANA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| INFANTE, JOCELYN EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $81K |
| REMIGIO, JOHNNY EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $81K |
| CRAGWELL, JANINA D EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| LESLIE-HOLLAND, ANTOINETTE M EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $80K |
| ZAMORA-SOBRINO, DOLORES EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $80K |
| ROSARIO CANALES, NITZA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| KALIOPI KAVALOS, ESQ NONE | Direct payment from the plan; Legal Service code 29 | 57 SMITY ST MERIDEN, CT 06450 | $79K |
| MARTINEZ, NATALIA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| PIZARRO, EVELYN EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| CALERO, GINA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| DUME, JESSICA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $78K |
| SMITHEN, TUJUANA EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| CRUZ, MELISSA EIN 13-6841620 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $78K |
| ALEMAN, ELIZABETH EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $77K |
| WILL, NOREEN EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $77K |
| DELGADO, YVONNE EIN 13-6841620 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
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 | 76,585 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 31,043 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 107,628 | 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.