See the carriers, broker commissions and premiums for this plan.
It also shows filing history and funding margin. Your first month is $4.99.
See 5 contract rows with premium, retention and renewal dates. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
See commissions and fees for 5 broker rows. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $9K |
| SATTER LAW FIRM EIN 47-2395830 NONE | Legal; Direct payment from the plan Service code 29 | — | $7K |
| TEAMSTERS LOCAL UNION NO. 1149 EIN 16-6045613 RELATED PARTY | Plan Administrator; Direct payment from the plan Service code 14 | — | $7K |
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 | 65 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 69 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EXCELLUS BLUE CROSS BLUE SHIELD | 69 | $841K |
| Dental | DELTA DENTAL OF NY | 144 | $58K |
| Vision | FIDELITY SECURITY LIFE INSURANCE CO OF NEW YORK | 120 | $10K |
| Life insurance | RENAISSANCE LIFE & HEALTH INS. CO OF AMERICA | 61 | $7K |
| Long-term disability | AMALGAMATED LIFE INSURANCE CO | 30 | $6K |
| Prescription drug | EXCELLUS BLUE CROSS BLUE SHIELD | 69 | $841K |
| Other | RENAISSANCE LIFE & HEALTH INS. CO OF AMERICA | 61 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 144 | — |
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."
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.