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 |
|---|---|---|---|
| LOWENSTEIN, SANDLER LLP EIN 22-2205010 NONE | Legal Service code 29 | ONE LOWENSTEIN DRIVE ROSELAND, NJ 07068 | $573K |
| SYNTONIC SYSTEMS, INC. EIN 13-2925049 NONE | Contract Administrator Service code 13 | 111 JOHN STREET NEW YORK, NY 10038 | $72K |
| ZELIN & ASSOCIATES CPA LLC EIN 46-4721814 NONE | Accounting (including auditing) Service code 10 | 555 EIGHTH AVENUE SUITE 1203 NEW YORK, NY 10018 | $23K |
| PALMER TANNO AGENCY EIN 13-1977110 NONE | Insurance agents and brokers Service code 22 | 33 WEST MAIN STREET ELMSFORD, NY 10523 | $17K |
| HERBERT POBINER EIN 22-2241328 NONE | Trustee (individual) Service code 20 | 535 EAST 86TH STREET NEW YORK, NY 10028 | $9K |
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 | 441 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 441 | 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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.