| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO EASTERN STATES INC | P.O. BOX 4058 SEGAL GROUP CHURCH STREET STATION NEW YORK, NY 102614058 | METROPOLITAN LIFE INSURANCE COMPANY | — | $61 | $61 | 0.01% |
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO EASTERN STATES INC | P.O. BOX 4058 SEGAL GROUP CHURCH STREET STATION NEW YORK, NY 102614058 | METROPOLITAN LIFE INSURANCE COMPANY | — | $61 | $61 | 0.11% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC. EIN 23-7391136 NONE | Float revenue; Claims processing; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator Service code 12 | — | $12.5M |
| DELTA DENTAL OF NEW YORK EIN 11-1980218 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $643K |
| KELLY PRESS INC. EIN 52-0975591 PRINTER & COPIER | Direct payment from the plan; Copying and duplicating Service code 36 | — | $571K |
| THE SEGAL COMPANY INC. EIN 13-1835864 NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $395K |
| STATE STREET GLOBAL ADVISORS EIN 81-4017137 NONE | Investment management fees paid directly by plan; Custodial (other than securities); Soft dollars commissions; Custodial (securities) Service code 18 | — | $245K |
| PROSKAUER ROSE LLP EIN 13-1840454 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $216K |
| SPIVAK LIPTON LLP EIN 13-3494495 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $200K |
| TRIPLE S SALUD INC. EIN 66-0555677 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $181K |
| WELLS FARGO BANK EIN 94-1347393 NONE | Other commissions; Custodial (securities); Direct payment from the plan Service code 19 | — | $140K |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 ACCOUNTANT | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $102K |
| MEKETA INVESTMENT GROUP INC. EIN 04-2659023 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $40K |
| SYNTONIC SYSTEMS INC. EIN 13-2925049 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $11K |
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 | 34,011 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,723 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 35,734 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRIPLE S SALUD, INC. | 408 | $36K |
| Vision | DAVIS VISION, INC. | 43,940 | $590K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 29,333 | $756K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,207 | $57K |
| Prescription drug | TRIPLE S SALUD, INC. | 408 | $36K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | EMPIRE HEALTHCHOICE ASSURANCE INC | 26,801 | $3.5M |
| Other | TRIPLE S SALUD, INC. | 408 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 43,940 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.