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 |
|---|---|---|---|
| SLEVIN & HART PC EIN 52-1708613 ATTORNEY | Legal Service code 29 | — | $145K |
| BUCHBINDER TUNICK & COMPANY LLP EIN 13-1578842 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $99K |
| AMALGAMATED EMPLOYEE BENEFITS ADMIN EIN 13-3432221 THIRD PARTY ADMINISTRATOR | Plan Administrator; Direct payment from the plan Service code 14 | — | $94K |
| ROTHMAN ROCCO LARUFFA LLP EIN 47-5401457 ATTORNEY | Legal; Direct payment from the plan Service code 29 | 3 WEST MAIN STREET,SUITE 200 ELMSFORD, NY 10523 | $65K |
| CHEIRON INC EIN 13-4215617 ACTUARY | Actuarial; Direct payment from the plan Service code 11 | — | $57K |
| CITRIN COOPERMAN AND COMPANY EIN 22-2428965 ACCOUNTANT | Accounting (including auditing); Direct payment from the plan Service code 10 | 88 FROEHLICH FARM BLVD, 3RD FLOOR WOODBURY, NY 11797 | $30K |
| MAGNACARE EIN 11-3410766 BENEFITS ADMINISTRATOR | Direct payment from the plan; Contract Administrator Service code 13 | — | $22K |
| BITS AND BITES LLC EIN 47-5647125 IT CONSULTANT | Direct payment from the plan; Consulting fees Service code 50 | — | $12K |
| IRON MOUNTIN INC EIN 23-2588479 STORAGE | Other fees; Direct payment from the plan Service code 50 | — | $10K |
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 | 297 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 297 | 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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.