| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY4 Filed as: THE SEGAL CO (EASTERN STATES) INC | 333 WEST 34TH STREET NEW YORK, NY 10001 | THE UNION LABOR LIFE INSURANCE COMPANY | $95K | $10K | $105K | 4.32% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES INC EIN 41-1289245 NONE | Claims processing; Contract Administrator; Direct payment from the plan; Other services Service code 12 | — | $808K |
| KROLL HEINEMAN PTASIEWICZ & PARSONS EIN 76-0760981 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $614K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $537K |
| VICTORIA L PETERSON-MITCHELL EIN 22-1764453 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $317K |
| THE SEGAL CO (EASTERN STATES) INC EIN 13-1835864 NONE | Direct payment from the plan; Consulting (general); Actuarial Service code 11 | — | $175K |
| KIMBERLY KEMPLE EIN 22-1764453 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $171K |
| ANDREW GODZWON EIN 22-1764453 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $122K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $114K |
| SUSAN DOMINGUEZ EIN 22-1764453 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $106K |
| MARITZA PEREZ EIN 22-1764453 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $102K |
| ALICIA RAMBALLI EIN 22-1764453 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $97K |
| DELTA DENTAL OF NEW JERSEY INC EIN 22-1896118 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $89K |
| BARBARA ALAVENA EIN 22-1764453 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $88K |
| CONNIE WILSON EIN 22-1764453 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $86K |
| STEVEN HUARI EIN 22-1764453 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $83K |
| ERASTO FIGUEROA EIN 22-1764453 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $83K |
| JASON NOA EIN 22-1764453 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $80K |
| MADOODRI RAJBAN EIN 22-1764453 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| SUSANIN WIDMAN & BRENNAN PC EIN 23-2265950 NONE | Legal; Direct payment from the plan Service code 29 | — | $78K |
| KAREN BOZE EIN 22-1764453 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $73K |
| NAOMI SHIWBARAN EIN 22-1764453 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $70K |
| JJ PIERSON ESQ EIN 37-1801501 NONE | Legal; Direct payment from the plan Service code 29 | — | $68K |
| WESTERN ASSET MANAGEMENT CO LLC EIN 52-1200960 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $66K |
| TRACY HANSEN EIN 22-1764453 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $65K |
| SHAWNEE DEWITT EIN 22-1764453 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $63K |
| ELITE TECHNOLOGY MANAGEMENT LLC EIN 46-1922412 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $62K |
| MARIA I JARVIS EIN 22-1764453 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $58K |
| ELLEN MENJIVAR EIN 22-1764453 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $58K |
| F/M INVESTMENTS LLC EIN 93-4308588 NONE | Soft dollars commissions; Investment management; Investment management fees paid indirectly by plan; Investment management fees paid directly by plan Service code 28 | — | $56K |
| CHRISTINA MCGUIRE EIN 22-1764453 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $56K |
| ALICIA M OVALLE EIN 22-1764453 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $54K |
| MORGAN STANLEY GRAYSTONE EIN 26-4310632 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $39K |
| SEGAL SELECT INSURANCE SERVICES INC EIN 46-0619194 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $39K |
| ROBERT CALAMARI EIN 22-1764453 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $35K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Securities brokerage commissions and fees; Custodial (securities); Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Shareholder servicing fees; Float revenue Service code 19 | — | $24K |
| CYBERDEV CORPORATION EIN 26-2305184 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $22K |
| EYEMED VISION CARE LLC EIN 43-0949884 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $22K |
| EXPRESS SCRIPTS INC EIN 43-1420563 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $14K |
| MANNING & NAPIER ADVISORS LLC EIN 45-3240790 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $14K |
| NORTHERN TRUST CORPORATION EIN 36-2723087 NONE | Investment management fees paid indirectly by plan; Investment management; Investment management fees paid directly by plan; Soft dollars commissions Service code 28 | — | $5K |
| UNION LABOR LIFE INSURANCE COMPANY EIN 13-1423090 NONE | Investment management; Other investment fees and expenses; Investment management fees paid indirectly by plan; Investment management fees paid directly by plan Service code 28 | — | $0 |
| UNITED HEALTHCARE SERVICES INC. | Other fees Service code 99 | — | $0 |
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 | 1,749 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,749 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 2,552 | $530K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,999 | $2.4M |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 2,552 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,552 | — |
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.