| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 120 EAGLE ROCK AVE, STE 195 EAST HANOVER, NJ 07936 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $29K | $35K | $64K | 4.39% |
| JOSEPH SORICELLI3 | 56 HARRISON STREET 203-1 NEW ROCHELLE, NY 10801 | SHELTERPOINT LIFE INSURANCE COMPANY | $32K | — | $32K | 2.83% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Other services; Claims processing; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $1.6M |
| PAYER MATRIX, LLC EIN 81-3946362 NONE | Consulting (general) Service code 16 | — | $385K |
| C&R CONSULTING, INC EIN 13-3935364 PRO SRVS FOR REL EBP | Claims processing Service code 12 | — | $246K |
| SLEVIN & HART, PC EIN 52-1708613 PRO SRVS REL ORGS | Legal Service code 29 | — | $205K |
| EXPRESS SCRIPTS HOLDING CO. EIN 22-3461740 NONE | Claims processing; Contract Administrator Service code 12 | — | $205K |
| ROBERT D'ULISSE EIN 23-7255573 PRO SRVS REL ORGS | Plan Administrator Service code 14 | — | $186K |
| BUCHBINDER TUNICK & COMPANY LLP EIN 13-1578842 PRO SRVS REL ORGS | Accounting (including auditing) Service code 10 | — | $164K |
| VINCENT ZITO EIN 23-7255573 PRO SRVS REL ORGS | Employee (plan) Service code 30 | — | $149K |
| EULALIA ZITO EIN 23-7255573 PRO SRVS REL ORGS | Employee (plan) Service code 30 | — | $115K |
| BRIAN CHABRA EIN 23-7255573 PRO SRVS FOR REL EBP | Employee (plan) Service code 30 | — | $85K |
| JO ANN ISOLANO EIN 23-7255573 PRO SRVS FOR REL EBP | Employee (plan) Service code 30 | — | $85K |
| HILDER L. LAVERDE EIN 23-7255573 PRO SRVS FOR REL EBP | Employee (plan) Service code 30 | — | $84K |
| MARIA PEDOTA EIN 23-7255573 PRO SRVS FOR REL EBP | Employee (plan) Service code 30 | — | $77K |
| DONNA A. SCALA EIN 23-7255573 PRO SRVS REL ORGS | Employee (plan) Service code 30 | — | $73K |
| SWARSATTIE BACHAN EIN 23-7255573 PRO SRVS FOR REL EBP | Employee (plan) Service code 30 | — | $73K |
| DONNA A. SCHUSTER EIN 23-7255573 PRO SRVS REL ORGS | Employee (plan) Service code 30 | — | $72K |
| AMBRINA ASLAM EIN 23-7255573 NONE | Employee (plan) Service code 30 | — | $68K |
| AMY GARTLAND EIN 23-7255573 NONE | Employee (plan) Service code 30 | — | $68K |
| ANNA E. VIRGONA EIN 23-7255573 PRO SRVS REL ORGS | Employee (plan) Service code 30 | — | $66K |
| MARGARET H. LAMONICA EIN 23-7255573 PRO SRVS FOR REL EBP | Employee (plan) Service code 30 | — | $60K |
| SEAN R. MCGINLEY EIN 23-7255573 PRO SRVS REL ORGS | Employee (plan) Service code 30 | — | $60K |
| IRIS TORRES EIN 23-7255573 NONE | Employee (plan) Service code 30 | — | $60K |
| CORINNE DEODATO EIN 23-7255573 NONE | Employee (plan) Service code 30 | — | $58K |
| MAUREEN JACKALA EIN 23-7255573 NONE | Employee (plan) Service code 30 | — | $56K |
| YEEMAN PUN EIN 23-7255573 PRO SRVS FOR REL EBP | Employee (plan) Service code 30 | — | $55K |
| NORMA GAYLE EIN 23-7255573 NONE | Employee (plan) Service code 30 | — | $54K |
| MARGARET M. DIFANO EIN 23-7255573 PRO SRVS FOR REL EBP | Employee (plan) Service code 30 | — | $52K |
| NICOLE C. BONGIORNO EIN 23-7255573 PRO SRVS FOR REL EBP | Employee (plan) Service code 30 | — | $49K |
| DANIEL ISTRICO EIN 23-7255573 PRO SRVS FOR REL EBP | Employee (plan) Service code 30 | — | $42K |
| ROGER S. SANTOS EIN 23-7255573 NONE | Employee (plan) Service code 30 | — | $42K |
| FIRST ACTUARIAL CONSULTING, INC. EIN 26-3842522 PRO SRVS FOR REL EBP | Actuarial Service code 11 | — | $40K |
| MINTZ & GOLD LLP EIN 11-3179008 PRO SRVS REL BEN PLANS | Legal Service code 29 | — | $38K |
| LINDA VECCHIO EIN 23-7255573 PRO SRVS REL ORGS | Employee (plan) Service code 30 | — | $33K |
| RENEE D. PINCKNEY EIN 23-7255573 PRO SRVS FOR REL EBP | Employee (plan) Service code 30 | — | $31K |
| WARREN KABASH EIN 23-7255573 NONE | Employee (plan) Service code 30 | — | $30K |
| SYNTONIC SYSTEMS, INC. EIN 13-2925049 PRO SRVS FOR REL EBP | Consulting (general) Service code 16 | — | $23K |
| MSI TECHNOLOGIES, LLC EIN 22-3827881 PRO SRVS FOR REL EBP | Consulting (general) Service code 16 | — | $9K |
| MEYER, SUOZZI, ENGLISH & KLEIN, P.C EIN 11-2340639 PRO SRVS REL ORGS | Legal Service code 29 | — | $8K |
| VISION SCREENING, INC. EIN 11-2358021 NONE | Contract Administrator Service code 13 | — | $8K |
| MAXON ADMINISTRATORS, INC. EIN 52-1080377 PRO SRVS FOR REL EBP | Insurance agents and brokers Service code 22 | — | $0 |
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 | 5,460 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,936 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 9,396 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 9,346 | $1.5M |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 9,346 | $2.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,346 | — |
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."
No prospect flags tripped on this filing.