| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL COMPANY (EASTERN STATES), | INC. 333 WEST 34TH STREET NEW YORK, NY 10001 | THE UNION LABOR LIFE INSURANCE COMPANY | $135K | — | $135K | 3.00% |
| CONTEMPORARY STRATEGIC SOLUTIONS3 | — | THE UNION LABOR LIFE INSURANCE COMPANY | $90K | — | $90K | 2.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE INC. EIN 23-7391136 NONE | Contract Administrator; Direct payment from the plan; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing Service code 12 | — | $13.7M |
| DELTA DENTAL OF NEW YORK EIN 11-1980218 NONE | Claims processing; Direct payment from the plan; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $703K |
| KELLY PRESS INC. EIN 52-0975591 PRINTER & COPIER | Copying and duplicating; Direct payment from the plan Service code 36 | — | $418K |
| THE SEGAL COMPANY INC. EIN 13-1835864 NONE | Actuarial; Direct payment from the plan; Insurance brokerage commissions and fees; Consulting (general) Service code 11 | — | $398K |
| WELLS FARGO BANK EIN 94-1347393 NONE | Other commissions; Direct payment from the plan; Custodial (securities) Service code 19 | — | $314K |
| SPIVAK LIPTON LLP EIN 13-3494495 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $280K |
| TRIPLE S SALUD INC. EIN 66-0555677 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $227K |
| STATE STREET GLOBAL ADVISORS EIN 81-4017137 NONE | Custodial (other than securities); Soft dollars commissions; Investment management fees paid directly by plan; Custodial (securities) Service code 18 | — | $219K |
| PROSKAUER ROSE LLP EIN 13-1840454 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $211K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 ACCOUNTANT | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $113K |
| MEKETA INVESTMENT GROUP INC. EIN 04-2659023 NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $43K |
| KLIK TECHNOLOGIES EIN 13-4087066 NONE | Other services; Direct payment from the plan Service code 49 | — | $12K |
| 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 |
| DAVID TYKULSKER & ASSOCIATES EIN 22-3411279 NONE | Legal; Direct payment from the plan Service code 29 | — | $7K |
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 | 34,552 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,483 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 37,035 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRIPLE S SALUD, INC. | 497 | $54K |
| Vision | DAVIS VISION, INC. | 44,944 | $506K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 29,784 | $789K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,175 | $49K |
| Prescription drug | TRIPLE S SALUD, INC. | 497 | $54K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | THE UNION LABOR LIFE INSURANCE COMPANY | 29,435 | $4.5M |
| Other | TRIPLE S SALUD, INC. | 497 | $54K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 44,944 | — |
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.