No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OXFORD HEALTH INSURANCE EIN 22-2797560 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $9.6M |
| MILLIMAN INC. EIN 91-0675641 NONE | Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | — | $588K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $424K |
| OPTUMRX EIN 33-0441200 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $309K |
| CHIEF EXECUTIVE OFFICER EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $148K |
| ALBERT KALTER, ESQ. EIN 13-2786112 NONE | Legal; Direct payment from the plan Service code 29 | — | $137K |
| BENEFITS DEPARTMENT MANAGER EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $130K |
| CHIEF OPERATING OFFICER EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $113K |
| PARTICIPANT SERVICE REP. 3 EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| PARTICIPANT SERVICE REP. 4 EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| PARTICIPANT SERVICE REP. 2 EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| PARTICIPANT SERVICES REP 8 EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $72K |
| PARTICIPANT SERVICE REP. 1 EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| PARTICIPANT SERVICE REP. 6 EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| IT MANAGER EIN 23-7336001 EMPLOYEE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Employee (plan); Direct payment from the plan Service code 15 | — | $71K |
| THOMAS HELFRICH, ESQ.212 956-8900 NONE | Legal; Direct payment from the plan Service code 29 | 555 W 57TH ST. STE. 1530 NEW YORK, NY 100192925 | $70K |
| PARTICIPANT SERVICES REP 7 EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $70K |
| PARTICIPANT SERVICE REP. 5 EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $68K |
| ADMINISTRATIVE SERVICES MANAGER EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $68K |
| CONTROLLER EIN 23-7336001 EMPLOYEE | Accounting (including auditing); Employee (plan); Direct payment from the plan Service code 10 | — | $63K |
| CLERK TYPIST 1 EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $61K |
| MEKETA EIN 04-2659023 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $52K |
| UHY LLP EIN 20-0694403 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $51K |
| ACCOUNTING DEPARTMENT SUPERVISOR EIN 23-7336001 EMPLOYEE | Employee (plan); Accounting (including auditing); Direct payment from the plan Service code 10 | — | $46K |
| ADMINISTRATIVE ASSISTANT 1 EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $46K |
| COBRA SPECIALIST EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan); Participant communication; Accounting (including auditing) Service code 10 | — | $46K |
| COHEN WEISS AND SIMON LLP EIN 13-1592323 NONE | Legal; Direct payment from the plan Service code 29 | — | $46K |
| ACCOUNTING ASSOCIATE EIN 23-7336001 EMPLOYEE | Accounting (including auditing); Direct payment from the plan; Employee (plan) Service code 10 | — | $45K |
| COMMUNICATIONS REPRESENTATIVE EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Participant communication; Employee (plan) Service code 30 | — | $44K |
| BUSINESS DATA ANALYST EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $43K |
| SYSTEM ADMINISTRATOR EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Employee (plan) Service code 15 | — | $42K |
| SR. COMMUNICATIONS SPECIALIST EIN 23-7336001 EMPLOYEE | Participant communication; Employee (plan); Direct payment from the plan Service code 30 | — | $41K |
| ADMINISTRATIVE ASSISTANT 2 EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $39K |
| BENEFITS FUND CLERK EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $38K |
| PC SUPPORT SPECIALIST EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Employee (plan) Service code 15 | — | $36K |
| SR. ACCOUNTING ASSOCIATE EIN 23-7336001 EMPLOYEE | Accounting (including auditing); Direct payment from the plan; Employee (plan) Service code 10 | — | $35K |
| HOWARD GREEN | Trustee (individual); Other fees Service code 20 | — | $29K |
| RECEPTIONIST EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $29K |
| COMMUNICATION SPECIALIST EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan; Participant communication Service code 30 | — | $28K |
| HOSPITAL SERVICES REPRESENTATIVE EIN 23-7336001 EMPLOYEE | Employee (plan); Accounting (including auditing); Direct payment from the plan Service code 10 | — | $28K |
| USM SOLUTIONS EIN 26-0594345 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $9K |
| HOWARD GREEN 914 224-3684 TRUSTEE | Other fees; Trustee (individual) Service code 20 | 212 FOREST DR. MT. KISCO, NY 10549 | $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 | 15,173 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 167 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 15,340 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | DAVIS VISION, INC. | 35,821 | $578K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 15,173 | $658K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 15,173 | $496K |
| Other | HARTFORD LIFE AND ACCIDENT | 15,173 | $496K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 35,821 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.