| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ARIA INSURANCE BROKERAGE INC3 | 371 MERRICK ROAD, SUITE 403 ROCKVILLE CENTRE, NY 11570 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | $6K | $0 | $6K | 0.97% |
| ARIA INSURANCE BROKERAGE INC3 | 371 MERRICK ROAD, SUITE 403 ROCKVILLE CENTRE, NY 11570 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | $206 | $0 | $206 | 0.95% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UFCW LOCAL 1500 EIN 13-5342295 AFFILIATED LOCAL UNION | Other services Service code 49 | — | $1.6M |
| ASSOCIATED ADMINISTRATORS, LLC EIN 65-1205077 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing; Copying and duplicating; Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $1.5M |
| EMPIRE HEALTHCHOICE ASSURANCE, INC EIN 23-7391136 NONE | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Contract Administrator; Claims processing Service code 12 | — | $1.3M |
| UFCW LOCAL 1500 BUILDING, INC EIN 11-2569806 AFFILIATED BUILDING CORP | Other services Service code 49 | — | $273K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Claims processing Service code 12 | — | $189K |
| SEI INVESTMENT MANAGEMENT CORP EIN 23-1707341 NONE | Float revenue; Trustee (directed); Custodial (securities); Investment management; Investment advisory (plan); Investment management fees paid directly by plan; Trustee (bank, trust company, or similar financial institution); Investment management fees paid indirectly by plan Service code 19 | — | $105K |
| ARIA EMPLOYEE BENEFIT SERVICES EIN 46-0666987 NONE | Consulting (general) Service code 16 | — | $68K |
| ARCHER, BYINGTON, GLENNON & LEVINE EIN 26-0873462 NONE | Legal Service code 29 | — | $51K |
| BERDON LLP EIN 13-0485070 NONE | Accounting (including auditing) Service code 10 | — | $43K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial Service code 11 | — | $33K |
| AJV LLC EIN 38-3939564 NONE | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $15K |
| PAPER & INK GRAPHICS, LLC EIN 27-3610069 NONE | Copying and duplicating; Other services Service code 36 | — | $14K |
| BLUE CROSS BLUE SHIELD NONE | Claims processing Service code 12 | 3350 PEACHTREE ROAD NE ATLANTA, GA 30326 | $12K |
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 | 18,791 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 981 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 19,772 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | 15,914 | $586K |
| Short-term disability | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | 223 | $22K |
| Other | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | 15,914 | $586K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 15,914 | — |
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.