No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $5.9M |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $853K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $579K |
| MILLIMAN, INC. EIN 91-0675641 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $357K |
| CHIEF EXECUTIVE OFFICER EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $193K |
| PROSKAUER ROSE LLP EIN 13-1840454 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $174K |
| BENEFITS DEPARTMENT MANAGER EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $172K |
| CHIEF OPERATING OFFICER EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $147K |
| BENEFITS DEPARTMENT SUPERVISOR EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $117K |
| SENIOR DISABILITY PARTICIPANT SERVI EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $111K |
| COHEN WEISS AND SIMON LLP EIN 13-1592323 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $107K |
| SENIOR PARTICIPANT SERVICES REP. EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $100K |
| 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 | — | $99K |
| DISABILITY PARTICIPANT SERVICES REP EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $94K |
| PARTICIPANT SERVICES REP. 4 EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $94K |
| PARTICIPANT SERVICES DISABILITY REP EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $93K |
| PARTICIPANT SERVICES REP. 3 EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $87K |
| CONTROLLER EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $85K |
| ENROLLMENT SPECIALIST EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $83K |
| UHY, LLP EIN 20-0694403 ACCOUNTANTS | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $78K |
| ADMINISTRATIVE ASSISTANT 2 EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| PARTICIPANT SERVICES REP. 1 EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| PARTICIPANT SERVICES REP. 5 EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $76K |
| COMMUNICATION SPECIALIST EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan; Participant communication Service code 30 | — | $74K |
| COBRA SPECIALIST EIN 23-7336001 EMPLOYEE | Employee (plan); Accounting (including auditing); Participant communication; Direct payment from the plan Service code 10 | — | $66K |
| ADMINISTRATIVE SERVICES MANAGER EIN 23-7336001 EMPLOYEE | Accounting (including auditing); Employee (plan); Direct payment from the plan Service code 10 | — | $65K |
| ACCOUNTING DEPARTMENT SUPERVISOR EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Accounting (including auditing); Employee (plan) Service code 10 | — | $63K |
| BENEFITS FUND CLERK EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $61K |
| BUSINESS DATA ANALYST EIN 23-7336001 EMPLOYEE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Employee (plan) Service code 15 | — | $59K |
| SYSTEM ADMINISTRATOR EIN 23-7336001 EMPLOYEE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Employee (plan) Service code 15 | — | $57K |
| SR. COMMUNICATIONS SPECIALIST EIN 23-7336001 EMPLOYEE | Participant communication; Employee (plan); Direct payment from the plan Service code 30 | — | $55K |
| ADMINISTRATIVE ASSISTANT 1 EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $49K |
| ACCOUNTING ASSOCIATE 1 EIN 23-7336001 EMPLOYEE | Accounting (including auditing); Direct payment from the plan; Employee (plan) Service code 10 | — | $49K |
| HOSPITAL SERVICES REPRESENTATIVE EIN 23-7336001 EMPLOYEE | Employee (plan); Accounting (including auditing); Direct payment from the plan Service code 10 | — | $48K |
| SR. ACCOUNTING ASSOCIATE EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan); Accounting (including auditing) Service code 10 | — | $46K |
| COMMUNICATIONS REPRESENTATIVE EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan; Participant communication Service code 30 | — | $46K |
| PARTICIPANT SERVICES REP. 2 EIN 23-7336001 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $39K |
| MEKETA EIN 04-2659023 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $34K |
| SENECA CONSULTING GROUP EIN 11-3422419 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $28K |
| SYSTEM ADMINISTRATOR II EIN 23-7336001 EMPLOYEE | Direct payment from the plan; Employee (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $28K |
| USM SOLUTIONS EIN 26-0594345 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $5K |
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 | 19,253 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 112 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 19,365 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY (VISION) | 40,255 | $833K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY (LIFE) | 19,766 | $621K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY (DBL) | 20,175 | $4.0M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY (PFL) | 19,766 | $7.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 40,255 | — |
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.