| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALICARE, INC3 | 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 | FIRST UNUM LIFE INSURANCE COMPANY | $3K | — | $3K | 13.78% |
| ALICARE, INC | 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 | FIRST UNUM LIFE INSURANCE COMPANY | $2K | — | $2K | 14.48% |
| ALICARE, INC | 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 | FIRST UNUM LIFE INSURANCE COMPANY | $724 | — | $724 | 15.01% |
| ALICARE, INC | 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 | FIRST UNUM LIFE INSURANCE COMPANY | $685 | — | $685 | 14.99% |
| ALICARE, INC | 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $655 | — | $655 | 15.00% |
| ALICARE, INC | 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 | FIRST UNUM LIFE INSURANCE COMPANY | $484 | — | $484 | 15.00% |
| ALICARE, INC | 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 | FIRST UNUM LIFE INSURANCE COMPANY | $390 | — | $390 | 15.01% |
| ALICARE, INC | 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 | FIRST UNUM LIFE INSURANCE COMPANY | $371 | — | $371 | 14.99% |
| ALICARE, INC | 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 | FIRST UNUM LIFE INSURANCE COMPANY | $247 | — | $247 | 15.00% |
| ALICARE, INC | 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 | FIRST UNUM LIFE INSURANCE COMPANY | $133 | — | $133 | 14.96% |
| ALICARE, INC | 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 | FIRST UNUM LIFE INSURANCE COMPANY | $120 | — | $120 | 14.98% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CROSSROADS HEALTHCARE MANAGEMENT LL EIN 74-3064316 NONE | Contract Administrator; Accounting (including auditing) Service code 10 | 2556 ARTHUR KILL ROAD STATEN ISLAND, NY 10309 | $2.8M |
| NEW YORK PUBLIC GOODS POOL EIN 15-0329043 NONE | Other services Service code 49 | CENTRAL NY REGION P.O. BOX 4757 SYRACUSE, NY 132214757 | $1.7M |
| THE UNION LABOR LIFE INSURANCE CO EIN 13-1423090 NONE | Insurance agents and brokers Service code 22 | 8403 COLESVILLE RD SILVER SPRING, MD 20910 | $1.4M |
| EMPIRE BLUE CROSS BLUE SHIELD ANTHE NONE | Other services Service code 49 | ONE LIBERTY PLAZA, 165 BROADWAY NEW YORK, NY 10006 | $1.2M |
| LAW OFFICES OF THOMAS A. THOMPSON NONE | Legal Service code 29 | 148 WHITES COVE ROAD, SUITE 1 YARMOUTH, ME 04096 | $390K |
| PROSCRIPT PHARMACY MANAGEMENT LLC EIN 20-1381813 NONE | Other services Service code 49 | 2556 ARTHUR KILL ROAD STATEN ISLAND, NY 10309 | $314K |
| MAGNACARE EIN 11-3410766 NONE | Other services Service code 49 | 825 EAST GATE BLVD GARDEN CITY, NY 11530 | $223K |
| QUALCARE EIN 22-3129563 NONE | Other services Service code 49 | 30 KNIGHTSBRIDGE RD PISCATAWAY, NJ 08854 | $160K |
| DAVIS VISION INC EIN 11-2358021 NONE | Other services Service code 49 | 175 EXPRESS ST., P.O. BOX 9122 PLAINVIEW, NY 11803 | $132K |
| SAMUEL GOLDSTEIN & CO., P.C. EIN 11-2478817 NONE | Accounting (including auditing) Service code 10 | 150 GREAT NECK ROAD - SUITE 202 GREAT NECK, NY 11021 | $72K |
| STEINBERG, STECKLER & PICCIURRO EIN 13-2665700 NONE | Accounting (including auditing) Service code 10 | 462 SEVENTH AVE NEW YORK, NY 10018 | $63K |
| DENTAL SERVICES INC EIN 11-2705347 NONE | Other services Service code 49 | 1640 HEMPSTEAD TURNPIKE EAST MEADOW, NY 11554 | $58K |
| SAVASTA AND COMPANY INC EIN 13-3879959 NONE | Actuarial Service code 11 | SIXTY BROAD STREET - 37TH FLOOR NEW YORK, NY 10004 | $48K |
| MUTUAL OF OMAHA | Other insurance fees and expenses Service code 73 | 76 NORTH BROADWAY IRVINGTON, NJ 10533 | $38K |
| VISION SCREENING INC EIN 11-2358021 NONE | Other services Service code 49 | 1919 MIDDLE COUNTRY ROAD SUITE 304 CENTEREACH, NY 11720 | $32K |
| ROLAND R. ACEVEDO EIN 13-3056117 NONE | Legal Service code 29 | 27 WHITEHALL STREET, 4TH FLOOR NEW YORK, NY 10004 | $31K |
| GENERAL VISION SERVICES LLC EIN 11-3580756 NONE | Other services Service code 49 | P.O. BOX 8000, DEPT 79 BUFFALO, NY 14267 | $25K |
| DAVID R PFAFF, MD EIN 13-3687263 NONE | Consulting fees Service code 70 | 3311 HYLAN BLVD STATEN ISLAND, NY 10306 | $24K |
| BROADVIEW ADVISORS LLC EIN 39-2020480 NONE | Investment management fees paid directly by plan Service code 51 | 333 EAST KILBOURN AVE., SUITE 1475 MILWAUKEE, WI 53202 | $23K |
| PERFECT PRINTING SOLUTIONS INC EIN 46-1378840 NONE | Copying and duplicating Service code 36 | 34 EAST MAIN STREET 396 SMITHTOWN, NY 117872841 | $21K |
| PALMER-TANNO AGENCY INC EIN 13-1977110 NONE | Insurance agents and brokers Service code 22 | 33 WEST MAIN STREET SUITE 408 ELMSFORD, NY 10523 | $21K |
| JURISCO NONE | Insurance agents and brokers Service code 22 | PO BOX 12939 TALLAHASSEE, FL 32317 | $20K |
| UNITED HEALTHCARE INSURANCE CO EIN 36-2739571 NONE | Other services Service code 49 | P.O. BOX 5840 CAROL STREAM, IL 601975840 | $18K |
| FRIEDMAN & ANSPACH ATTORNEYS AT LAW EIN 20-5003549 NONE | Legal Service code 29 | 1500 BROADWAY NEW YORK, NY 10036 | $15K |
| STACEY BRAUN ASSOCIATES EIN 13-2889432 NONE | Investment management fees paid directly by plan Service code 51 | 377 BROADWAY NEW YORK, NY 10013 | $12K |
| C. S. MCKEE, L.P. EIN 25-1900687 NONE | Investment management fees paid directly by plan Service code 51 | ONE GATEWAY CENTER, 8TH FLOOR PITTSBURGH, PA 15239 | $8K |
| INVESTMENT CONSULTING SERVICES LLC EIN 32-0016703 NONE | Consulting fees Service code 70 | 2215 YORK ROAD - SUITE 206 OAK BROOK, IL 60523 | $8K |
| M & T INVESTMENT GROUP EIN 16-0538020 NONE | Custodial (securities) Service code 19 | ONE M T PLAZA, 9TH FLOOR BUFFALO, NY 14203 | $5K |
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 | 5,762 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 712 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 6,474 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 716 | $75K |
| Long-term disability(11 contracts, 2 carriers) | FIRST UNUM LIFE INSURANCE COMPANY | 128 | $61K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 716 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.