| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 669 RIVER DR CENTER II STE 305 ELMWOOD PARK, NJ 07407 | LINCOLN LIFE AND ANNUITY CO OF NY | — | $134K | $134K | 8.17% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 65 MADISON AVENUE STE 200 CHESTER, NJ 07960 | LINCOLN LIFE AND ANNUITY CO OF NY | $1K | — | $1K | 0.06% |
| JOSEPH L SORICELLI3 | 5 SUZETTE LANE 2ND FLOOR VALHALLA, NY 10595 | SHELTERPOINT LIFE INSURANCE COMPANY | $48K | — | $48K | 4.08% |
| JOSEPH L SORICELLI3 | 5 SUZETTE LANE 2ND FLOOR VALHALLA, NY 10595 | SHELTERPOINT LIFE INSURANCE COMPANY | $27K | — | $27K | 4.82% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 11-2358021 NONE | Float revenue; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $3.2M |
| PAYER MATRIX, LLC EIN 81-3946362 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $804K |
| C&R CONSULTING, INC EIN 13-3935364 PRO SRVS FOR REL EBP | Direct payment from the plan; Claims processing Service code 12 | — | $263K |
| BRIDGEWAY BENEFIT TECHNOLOGIES NONE | Direct payment from the plan; Consulting (general) Service code 16 | 3000 S LENOLA ROAD MAPLE SHADE, NJ 08052 | $197K |
| EXPRESS SCRIPTS HOLDING CO. EIN 43-1420563 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $188K |
| SLEVIN & HART, PC EIN 52-1708613 PRO SRVS FOR REL EBP | Legal; Direct payment from the plan Service code 29 | — | $171K |
| ROBERT D'ULISSE EIN 23-7255573 EMPLOYEE | Direct payment from the plan; Plan Administrator Service code 14 | — | $142K |
| AMBRINA ASLAM EIN 23-7255573 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $113K |
| EULALIA ZITO EIN 23-7255573 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $105K |
| IRIS TORRES EIN 23-7255373 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $100K |
| VINCENT ZITO EIN 23-7255573 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $94K |
| NORMA GAYLE EIN 23-7255573 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| MARGARET M. DIFANO EIN 23-7255573 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $88K |
| GUNTHER MEJIA EIN 23-7255573 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $85K |
| DONNA A. SCHUSTER EIN 23-7255573 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $83K |
| DONNA A. SCALA EIN 23-7255573 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $81K |
| SWARSATTIE BACHAN EIN 23-7255573 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| AMY GARTLAND EIN 23-7255573 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| MARGARET H. LAMONICA EIN 23-7255573 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| ASHLEY M. MICCIULLI EIN 23-7255573 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| ANNE OAKES EIN 23-7255573 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $67K |
| JO ANN ISOLANO EIN 23-7255573 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $66K |
| MINTZ & GOLD LLP EIN 11-3179008 PRO SRVS FOR REL EBP | Legal; Direct payment from the plan Service code 29 | — | $57K |
| DANIEL ISTRICO EIN 23-7255573 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $57K |
| YEEMAN PUN EIN 23-7255573 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $50K |
| FIRST ACTUARIAL CONSULTING, INC. EIN 26-3842522 PRO SRVS FOR REL EBP | Direct payment from the plan; Actuarial Service code 11 | — | $48K |
| ANNA E. VIRGONA EIN 23-7255573 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $42K |
| WARREN KABASH EIN 23-7255573 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $36K |
| DDS INC. NONE | Contract Administrator Service code 13 | 265 POST AVENUE WESTBURY, NY 11590 | $33K |
| SYNTONIC SYSTEMS, INC. EIN 13-2925049 PRO SRVS FOR REL EBP | Consulting (general); Direct payment from the plan Service code 16 | — | $33K |
| ROGER SANTOS EIN 23-7255573 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $33K |
| CANON FINANCIAL SERVICES NONE | Other services Service code 49 | 158 GAITHER DRIVE MT LAUREL TOWNSHIP, NJ 08054 | $16K |
| MSI TECHNOLOGIES, LLC EIN 22-3827881 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $11K |
| QUADIENT INC NONE | Other services; Direct payment from the plan Service code 49 | 1 PENNSLYVANIA PLAZA NEW YORK, NY 10119 | $11K |
| VISION SCREENING, INC. EIN 11-2358021 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $6K |
| MEYER, SOUZZI, ENGLISH & KLEIN, P.C EIN 11-2340639 PRO SRVS FOR REL EBP | Legal; Direct payment from the plan Service code 29 | — | $5K |
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 | 5,581 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,097 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 9,678 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | LINCOLN LIFE AND ANNUITY CO OF NY | 9,459 | $1.6M |
| Other(3 contracts, 2 carriers) | LINCOLN LIFE AND ANNUITY CO OF NY | 9,459 | $3.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,459 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.