No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DOROTHY MCBRIDE EIN 23-7170500 PLAN ADMINISTRATOR | Direct payment from the plan; Plan Administrator; Employee (plan) Service code 14 | 155 CHANGEBRIDGE ROAD MONTVILLE, NJ 07045 | $207K |
| BARNES, IACCARINO, & SHEPHERD LLP EIN 26-3858697 ATTORNEY | Legal; Direct payment from the plan Service code 29 | 3 SURREY LANE HEMPSTEAD, NY 11550 | $50K |
| WAGNER & ZWERMAN LLP EIN 11-2836481 ACCOUNTANT | Direct payment from the plan; Accounting (including auditing) Service code 10 | 201 OLD CONTRY ROAD SUITE 202 MELVILLE, NY 11747 | $24K |
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 CLAIMS PROCESSOR | Claims processing; Direct payment from the plan Service code 12 | 140 SYLVAN AVENUE SUITE 303 ENGLEWOOD CLIFFS, NJ 07632 | $19K |
| C.S. MCKEE L.P. EIN 25-1900687 INVESTMENT MANAGER | Investment management fees paid directly by plan; Investment management Service code 28 | 420 FORT DUQUESNE BLVD 8TH FLOOR PITTSBURGH, PA 15222 | $19K |
| M&T BANK EIN 16-0538020 INVESTMENT CUSTODIAN | Custodial (securities); Investment management fees paid directly by plan Service code 19 | ONE MT PLAZA 9TH FLOOR BUFFALO, NY 14203 | $18K |
| DAHAB ASSOCIATES EIN 11-2783874 INVESTMENT CONSULTANT | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | 423 SOUTH COUNTRY ROAD BAY SHORE, NY 11706 | $13K |
| BOB ALLISON EIN 22-6195465 OTHER SERVICES | Other services; Direct payment from the plan Service code 49 | 155 CHANGEBRIDGE ROAD MONTVILLE, NJ 07045 | $8K |
| CHRISTINE COSTA EIN 22-6195465 BOOKKEEPER | Direct payment from the plan; Other services Service code 49 | 155 CHANGEBRIDGE ROAD MONTVILLE, NJ 07045 | $8K |
| PRUDENTIAL INSURANCE CO. EIN 52-1679020 INVESTMENT MANAGER | Investment management; Investment management fees paid directly by plan Service code 28 | GATEWAY CENTER 2 6TH FLOOR NEWARK, NJ 07102 | $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 | 25 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 25 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | FLAGSHIP HEALTH SYSTEMS | 21 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 21 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.