| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JN SAVASTA CORP3 Filed as: J,N, SAVASTA CORPORATION | 1350 BROADWAY, SUITE 410 NEW YORK, NY 10018 | THE UNION LABOR LIFE INSURANCE COMPANY | $6K | — | $6K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HORIZON HEALTHCARE SERVICES INC EIN 22-0999690 NONE | Direct payment from the plan; Contract Administrator; Insurance agents and brokers Service code 13 | — | $934K |
| ZELIS CLAIMS INTEGRITY NONE | Direct payment from the plan; Other fees Service code 50 | 2 CROSSROADS DRIVE BEDMINSTER, NJ 07921 | $506K |
| STACEY BRAUN ASSOCIATES INC. EIN 13-2889432 NONE | Investment management; Investment management fees paid directly by plan; Soft dollars commissions Service code 28 | — | $194K |
| SALVATRICE VERILLO EIN 22-6082349 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $143K |
| MICHELE PROCHOV EIN 22-6082349 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $125K |
| MSPC CERTIFIED PUBLIC ACCOUNTANTS EIN 22-2951202 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $109K |
| MICHALINA PACYNA EIN 22-6082349 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $102K |
| COHEN WEISS & SIMON LLP EIN 13-1592323 NONE | Legal; Direct payment from the plan Service code 29 | — | $96K |
| SILVANA TURDO EIN 22-6082349 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $80K |
| NICOLE GRABINSKI EIN 22-6082349 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $77K |
| DAWN CARMODY ITRI EIN 22-6082349 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| NICOLE HUERTA EIN 22-6082349 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $68K |
| RIFAT RAMDANI EIN 22-6082349 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $67K |
| LUZ QUINTERO EIN 22-6082349 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $60K |
| MARJORIE FANARRAGEA EIN 22-6082349 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $56K |
| CHERYLANN CALISE EIN 22-6082349 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $51K |
| MEGAN BARRON EIN 22-6082349 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $46K |
| JENNIFER MARRETTA EIN 22-6082349 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $40K |
| CARLA ORTIZ EIN 22-6082349 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $40K |
| O'SULLIVAN AND ASSOCIATES EIN 20-8199367 NONE | Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | — | $39K |
| UNITED REVIEW SERVICES EIN 22-2853893 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $35K |
| KROLL HEINEMAN GIBLIN NONE | Legal; Direct payment from the plan Service code 29 | 99 S WOOD AVE, 307 ISELIN, NJ 08830 | $35K |
| BANK OF AMERICA EIN 94-1687665 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $19K |
| FITZSIMMONS, KRANTZ & ABRAMS EIN 13-2858927 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $17K |
| CALIBRE CPA GROUP EIN 47-0900880 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $15K |
| SCHULTHESIS AND PANNETTIERI EIN 13-1577780 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $15K |
| LYNCH & MURRAY EIN 22-3352529 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $9K |
| RAYMOND J FANNER EIN 45-4230673 TRUSTEE | Direct payment from the plan Service code 50 | — | $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 | 1,605 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,615 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | THE UNION LABOR LIFE INSURANCE COMPANY | 1,166 | $203K |
| Short-term disability | THE UNION LABOR LIFE INSURANCE COMPANY | 475 | $145K |
| Other(2 contracts) | THE UNION LABOR LIFE INSURANCE COMPANY | 1,166 | $203K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,166 | — |
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 primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.