Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: Professional Group Plans, Inc. LifeOther | LifeOther |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 2 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 1,053 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,054 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | RELIANCE STANDARD LIFE INSURANCE CO. | 979 | $107K |
| Other | RELIANCE STANDARD LIFE INSURANCE CO. | 979 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 979 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Reliance Standard Life Insurance Co. | |
Carrier: Reliance Standard Life Insurance Co. |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HILDA SANCHEZ EIN 23-7248562 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $155K |
| RELIANCE TRUST COMPANY EIN 58-1428634 NONE | Direct payment from the plan; Investment management; Custodial (securities) Service code 19 | — | $148K |
| LORRAINE LEVY EIN 23-7248562 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $144K |
| OPTIMUM TECHNOLGIES INC EIN 04-3283029 NONE | Other services; Other fees; Direct payment from the plan Service code 49 | — | $139K |
| MAGNACARE ADMINSTRATIVE SVCS LLC EIN 11-3410766 NONE | Valuation (appraisals, etc.); Direct payment from the plan Service code 34 | — | $130K |
| FRANCA EUVINO EIN 23-7248562 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $118K |
| RICHARD GALLO EIN 23-7248562 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $112K |
| PRISCILLA POVEDA GARCIA EIN 23-7248562 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $111K |
| UNITED LABOR SYSTEMS NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 360 E PARK AVE LONG BEACH, NY 11561 | $106K |
| ADAM HARRIS EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $101K |
| DAVID HARRIS EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $95K |
| EVELYN DEJESUS GUTIERREZ EIN 23-7248562 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $83K |
| BENECARD SERVICES, INC. EIN 22-2998772 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $75K |
| FLORENCE SACINO EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $75K |
| MIRANDA TYNER EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $71K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $67K |
| MARIA ORTIZ EIN 23-7248562 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $53K |
| DR STEPHEN JAFFE NONE | Consulting fees; Direct payment from the plan Service code 50 | 16 LANCASTER RD TENAFLY, NJ 07670 | $43K |
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $42K |
| ERIC M. HARRIS, ESQ., P.C. NONE | Legal; Direct payment from the plan Service code 29 | 485 UNDERHILL BLVD, STE 203 SYOSSET, NY 11791 | $36K |
| NANCY BONSANTI EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $29K |
| PAULA CUSUMANO EIN 23-7248562 TRUSTEE | Trustee (directed); Direct payment from the plan Service code 25 | — | $18K |
| BACK NINE CONSULTING, LLC EIN 99-2224713 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $16K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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10 filings · 2016 to 2025