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No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUM RX, INC. EIN 33-0441200 PHARMACY BENEFIT MANAGE | Other fees; Direct payment from the plan; Claims processing; Float revenue Service code 12 | — | $2.2M |
| EXCELLUS BLUECROSS BLUESHIELD EIN 16-0821557 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $326K |
| ASHER KELLY NONE | Direct payment from the plan; Legal Service code 29 | 25800 NORTHWESTERN HIGHWAY, SUITE 1 SOUTHFIELD, MI 48075 | $127K |
| BRIDGEWAY BENEFIT TECHNOLOGIES NONE | Other services; Direct payment from the plan Service code 49 | 3700 KOPPERS ST 400 BALTIMORE, MD 21227 | $117K |
| ARCARA ZUCARELLI LENDA & ASSOCIATES NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 5214 MAIN STREET, SUITE 200 WILLIAMSVILLE, NY 14221 | $104K |
| M. DEL PRETE EIN 16-0821557 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $102K |
| J. VIBBER EIN 16-0871557 EMPLOYEE | Direct payment from the plan Service code 50 | — | $56K |
| ROCHESTER LABORERS BUILDING CORP AFFILIATED FUND | Other services; Direct payment from the plan Service code 49 | 20 FOURTH STREET ROCHESTER, NY 14609 | $53K |
| M. WHITE EIN 16-0821557 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $45K |
| N. TUGGLES EIN 16-0821557 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $43K |
| O'SULLIVAN ASSOCIATES, INC. NONE | Actuarial; Direct payment from the plan Service code 11 | 1236 BRACE RD, UNIT E CHERRY HILL, NJ 08034 | $40K |
| BONADIO & CO., LLP EIN 16-1131146 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $35K |
| LIFETIME BENEFIT SOLUTIONS NONE | Claims processing; Direct payment from the plan Service code 12 | 333 BUTTERNUT DRIVE SYRACUSE, NY 13214 | $28K |
| EMERGING TEL CORP NONE | Direct payment from the plan; Other services Service code 49 | 2604 ELMWOOD AVENUE, SUITE 127 ROCHESTER, NY 14618 | $24K |
| BEACON SOLUTIONS NONE | Consulting (general); Direct payment from the plan Service code 16 | 171 SULLYS TRAIL PITTSFORD, NY 14534 | $20K |
| MORGANSTANLEY SMITHBARNEY LLC EIN 36-3145972 NONE | Other investment fees and expenses; Investment advisory (plan); Direct payment from the plan Service code 27 | — | $15K |
| KARPUS INVESTMENT MANAGEMENT NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 183 SULLYS TRAIL PITTSFORD, NY 14534 | $13K |
| QUADIENT FINANCE, USA NONE | Other services; Direct payment from the plan Service code 49 | 478 WHEELERS FARMS ROAD MILFORD, CT 06461 | $13K |
| POLEN CAPITAL NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 1825 NW CORPORATE BLVD, SUITE 300 BOCA RATON, FL 33431 | $8K |
| DOLAN MCENIRY CAPITAL MANAGEMENT NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 120 N LASALLE ST 1510 CHICAGO, IL 60602 | $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 | 672 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 672 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 668 | $73K |
| Stop-loss / reinsurancereinsurance | EXCELLUS BLUE CROSS BLUE SHIELD | 659 | $674K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 668 | $73K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 668 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.