No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC EIN 23-7391136 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $1.6M |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $815K |
| MILLIMAN INC. EIN 91-0675641 NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $571K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $538K |
| CHIEF EXECUTIVE OFFICER EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $186K |
| PROSKAUER ROSE LLP EIN 13-1840454 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $169K |
| BENEFITS DEPARTMENT MANAGER EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $164K |
| COHEN WEISS AND SIMON LLP EIN 13-1592323 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $147K |
| CHIEF OPERATING OFFICER EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $141K |
| SENIOR PARTICIPANT SERVICES REP. EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $103K |
| SENIOR DISABILITY PARTICIPANT SERVI EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $102K |
| HEALTH MANAGEMENT SYSTEMS, INC. EIN 13-2770433 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $101K |
| IT MANAGER EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $95K |
| PARTICIPANT SERVICES REP. 2 EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| PARTICIPANT SERVICES REP. 1 EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $92K |
| DISABILITY PARTICIPANT SERVICES REP EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $90K |
| PARTICIPANT SERVICES DISABILITY REP EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $89K |
| PARTICIPANT SERVICES REP. 4 EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $87K |
| CONTROLLER EIN 23-7336001 EMPLOYEE | Employee (plan); Accounting (including auditing); Direct payment from the plan Service code 10 | — | $82K |
| PARTICIPANT SERVICES REP 3 EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| UHY, LLP EIN 20-0694403 ACCOUNTANTS | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $80K |
| ENROLLMENT SPECIALIST EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $77K |
| PARTICIPANT SERVICES REP 5 EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| COMMUNICATION SPECIALIST EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan; Participant communication Service code 30 | — | $68K |
| MEKETA EIN 04-2659023 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $67K |
| BENEFITS FUND CLERK EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $63K |
| ADMINISTRATIVE SERVICES MANAGER EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan); Accounting (including auditing) Service code 10 | — | $61K |
| ACCOUNTING DEPARTMENT SUPERVISOR EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan); Accounting (including auditing) Service code 10 | — | $60K |
| BUSINESS DATA ANALYST EIN 23-7336001 EMPLOYEE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Employee (plan); Direct payment from the plan Service code 15 | — | $55K |
| ADMINISTRATIVE ASSISTANT 2 EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $55K |
| SYSTEM ADMINISTRATOR EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $54K |
| COBRA SPECIALIST EIN 23-7336001 EMPLOYEE | Participant communication; Employee (plan); Accounting (including auditing); Direct payment from the plan Service code 10 | — | $52K |
| SR. COMMUNICATIONS SPECIALIST EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Participant communication; Employee (plan) Service code 30 | — | $52K |
| HOSPITAL SERVICES REPRESENTATIVE EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan); Accounting (including auditing) Service code 10 | — | $45K |
| SR. ACCOUNTING ASSOCIATE EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $44K |
| COMMUNICATIONS REPRESENTATIVE EIN 23-7336001 EMPLOYEE | Participant communication; Direct payment from the plan; Employee (plan) Service code 30 | — | $43K |
| ADMINISTRATIVE ASSISTANT 1 EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $41K |
| ACCOUNTING ASSOCIATE 1 EIN 23-7336001 EMPLOYEE | Accounting (including auditing); Direct payment from the plan; Employee (plan) Service code 10 | — | $40K |
| RECEPTIONIST EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $30K |
| SENECA CONSULTING GROUP EIN 11-3422419 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $27K |
| ASSISTANT FINANCIAL ANALYST EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $27K |
| WCM EIN 95-3046237 NONE | Investment management; Soft dollars commissions; Investment management fees paid directly by plan Service code 28 | — | $19K |
| MARSHALL & STERLING EMPLOYEE BENEFI EIN 14-1769291 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $17K |
| HOLM & O'HARA EIN 13-3591118 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $13K |
| BRYAN CAVE LEIGHTON & PAISNER EIN 43-0602162 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $6K |
| NORTHERN TRUST EIN 35-1561860 CUSTODIAN | Direct payment from the plan; Investment management fees paid indirectly by plan; Custodial (securities) Service code 19 | — | $6K |
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 | 18,247 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 393 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 18,640 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | DAVIS VISION, INC. | 39,633 | $806K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY (LIFE) | 18,200 | $592K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY (DBL) | 18,200 | $3.6M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY (PFL) | 18,145 | $7.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 39,633 | — |
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.