| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: SEGAL SELECT INSURANCE SERVICES INC | 333 WEST 34TH STREET NEW YORK, NY 10001 | BERKLEY LIFE AND HEALTH INSURANCE COMPANY | $66K | — | $66K | 3.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC. EIN 23-7391136 NONE | Float revenue; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Contract Administrator; Direct payment from the plan Service code 12 | — | $9.5M |
| DELTA DENTAL OF NEW YORK EIN 11-1980218 NONE | Contract Administrator; Claims processing; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $465K |
| WELLS FARGO BANK EIN 94-1347393 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $252K |
| THE SEGAL COMPANY INC. EIN 13-1835864 CONSULTING | Actuarial; Insurance brokerage commissions and fees; Direct payment from the plan; Consulting (general) Service code 11 | — | $238K |
| KELLY PRESS INC. EIN 52-0975591 PRINTER & COPIER | Direct payment from the plan; Copying and duplicating Service code 36 | — | $203K |
| PROSKAUER ROSE LLP EIN 13-1840454 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $164K |
| SPIVAK LIPTON LLP EIN 13-3494495 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $161K |
| TRIPLE S SALUD INC. EIN 66-0555677 NONE | Direct payment from the plan; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 12 | — | $138K |
| STATE STREET GLOBAL ADVISORS EIN 04-1867445 NONE | Custodial (other than securities); Custodial (securities); Soft dollars commissions; Investment management fees paid directly by plan Service code 18 | — | $129K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 ACCOUNTANT | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $95K |
| THE SEGAL COMPANY | Insurance brokerage commissions and fees Service code 53 | — | $84K |
| ADMINISTRATIVE SERVICES ONLY INC. EIN 11-2995970 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $54K |
| MEKETA INVESTMENT GROUP INC. EIN 04-2659023 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $37K |
| SYNTONIC SYSTEMS INC. EIN 13-2925049 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $12K |
| ELLIE O SIEGEL NONE | Legal; Direct payment from the plan Service code 29 | 322 MONROE STREET PHILADELPHIA, PA 19147 | $8K |
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 | 25,506 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 813 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 26,319 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRIPLE S SALUD, INC. | 376 | $33K |
| Vision | DAVIS VISION, INC. | 28,706 | $435K |
| Life insurance | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | 11,733 | $527K |
| Short-term disability | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | 11,733 | $527K |
| Prescription drug | TRIPLE S SALUD, INC. | 376 | $33K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | BERKLEY LIFE AND HEALTH INSURANCE COMPANY | 20,280 | $2.2M |
| Other | TRIPLE S SALUD, INC. | 376 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 28,706 | — |
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.