No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NJ COMMUNITY COLLEGE CONSORTIUM EIN 22-3085497 NONE | Other services; Direct payment from the plan Service code 49 | — | $409K |
| HOSTOS COMMUNITY COLLEGE EIN 13-6400434 NONE | Other services; Direct payment from the plan Service code 49 | — | $264K |
| GOWELL-NELSON, LINDA EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $239K |
| PRINCE GEORGES COMMUNITY COLLEGE EIN 52-1429938 NONE | Direct payment from the plan; Other services Service code 49 | — | $160K |
| QUEENS COLLEGE EIN 13-3893536 NONE | Other services; Direct payment from the plan Service code 49 | — | $160K |
| GREEN, MICHAEL EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $143K |
| LEGGIO, JAMES EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $138K |
| BARRY, JAMES EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $135K |
| THE SED CENTER EIN 23-7147887 NONE | Direct payment from the plan; Other services Service code 49 | — | $124K |
| PRIGO, NICHOLAS EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $118K |
| MONTGOMERY COLLEGE EIN 52-1267008 NONE | Direct payment from the plan; Other services Service code 49 | — | $117K |
| GONZALEZ, JOSE EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $117K |
| MULDOON, ROBERT EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $115K |
| PUERTA-LOPEZ, JESUS JOHNI EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $111K |
| H & H GRAPHIC PRINTING COMMUNICATIO EIN 06-1648637 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $111K |
| ARLINGTON PUBLIC SCHOOLS EIN 54-6001128 NONE | Direct payment from the plan; Other services Service code 49 | — | $111K |
| THERING, THOMAS EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $108K |
| NEW YORK CITY HOUSING AUTHORITY EIN 13-6400571 NONE | Direct payment from the plan; Other fees Service code 50 | — | $108K |
| TERRY, FREDERICK C EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $98K |
| BRACCIOLI, ADRIANA ALEJANDRA EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $98K |
| ANDREWS, BENJAMIN EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $97K |
| CHAPE, EMILIA EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $96K |
| WRIGHT, ALLEN EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $95K |
| MARIN, ORLANDO EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $91K |
| WINGATE, DONALD EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $91K |
| RAMOS-MARTINEZ, AWILDA EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $89K |
| ANDREWS, JOEL EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $88K |
| CAMPOS, JHOANNA EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $87K |
| PUENTE, CAROLINA EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $85K |
| CUNNINGHAM, JOSEPH EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $85K |
| FOSTER, LOURDES EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $82K |
| OSBORNE, MARGOT H EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| CAPITAL COMMUNITY COLLEGE EIN 22-2513381 NONE | Direct payment from the plan; Other services Service code 49 | — | $76K |
| ORNDOFF, ROBERT EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| AGUILAR, VICTOR EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| HARRIS, RICHARD EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $74K |
| VELAZQUEZ, IVONNE EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $73K |
| ESPINA, JANELLI EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $73K |
| VELEZ, SONIA ROSA EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $71K |
| FONTANEZ, GLORIA EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $70K |
| ROSA, JOSE A EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $69K |
| FOBI, KENNETH EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $68K |
| OLIVERA SR, VICTOR EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $67K |
| GLUKHOV, ALEXANDER EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $66K |
| MORTIMER, MICHAEL EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $65K |
| CHAVEZ DELA CRUZ, DIANA EIN 23-7424757 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $64K |
| MERIDIAN KNOWLEDGE SOLUTIONS EIN 20-5864828 NONE | Consulting fees; Direct payment from the plan Service code 50 | — | $64K |
| PACE UNIVERSITY EIN 52-2247044 NONE | Direct payment from the plan; Other services Service code 49 | — | $63K |
| ROLAND, JOSEPH P EIN 23-7424757 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $55K |
| UNIVERSAL PRINTING COMPANY EIN 43-0562133 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $54K |
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 | 87,426 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 87,426 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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."
No prospect flags tripped on this filing.