| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMALGAMATED EMPLOYEE BENEFITS ADMIN3 | 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 | HEALTH PLAN OF NEVADA | $150K | — | $150K | 2.65% |
| CARLOS REYNOSO3 | — | BLUE CROSS OF CALIFORNIA (G0200) | $40K | — | $40K | 5.06% |
| FRANKIE DIAZ OTERO3 | RR 4 BOX 3414 BAYAMON, PR 00956 | MCS LIFE INSURANCE COMPANY | $10K | — | $10K | 5.94% |
| FRANKIE DIAZ OTERO3 | RR4 BOX 3414 BAYAMON, PR 00956 | DELTA DENTAL OF PUERTO RICO, INC | $891 | — | $891 | 9.00% |
| CARLOS REYNOSO3 | 22737 FESTIVIDAD DR SANTA CLARITA, CA 91354 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $189 | — | $189 | 23.68% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMALGAMATED EMPLOYEE BENEFITS ADMIN EIN 13-3432221 OWNED BY PARTY-IN-INTERES | Direct payment from the plan; Contract Administrator; Other services Service code 13 | — | $31.5M |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services; Claims processing; Float revenue Service code 12 | — | $4.9M |
| ANTHEM BLUE CROSS BLUE SHIELD EIN 95-4402957 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $2.9M |
| BLUE CROSS BLUE SHIELD OF MASSACHUS EIN 04-1045815 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $2.1M |
| AMALGAMATED MEDICAL CARE MANAGEMENT EIN 13-3432221 OWNED BY PARTY-IN-INTERES | Direct payment from the plan; Other services Service code 49 | — | $1.7M |
| SCHULTE ROTH & ZABEL LLP EIN 13-2633996 NONE | Legal; Direct payment from the plan Service code 29 | — | $279K |
| SIDNEY HILLMAN HEALTH CENTER EIN 36-2245908 PARTY-IN-INTEREST | Direct payment from the plan; Claims processing Service code 12 | — | $142K |
| NY/NJ JOINT BOARD - WORKERS UNITED EIN 13-4908365 PARTY-IN-INTEREST | Plan Administrator; Direct payment from the plan Service code 14 | — | $110K |
| CHICAGO AND MIDWEST REGIONAL JT BD EIN 36-2938055 PARTY-IN-INTEREST | Plan Administrator; Other services; Direct payment from the plan Service code 14 | — | $103K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $90K |
| SOUTHERN REGIONAL JOINT BOARD WORKE EIN 58-1086875 PARTY-IN-INTEREST | Plan Administrator; Direct payment from the plan Service code 14 | — | $90K |
| AMALGAMATED LIFE INSURANCE EIN 13-5501223 OWNED BY PARTY-IN-INTERES | Other services; Direct payment from the plan Service code 49 | — | $89K |
| ALIGRAPHICS, A DIVISION OF AEBA EIN 13-3432221 OWNED BY PARTY-IN-INTERES | Direct payment from the plan; Other services Service code 49 | — | $88K |
| ANDCO CONSULTING, LLC EIN 59-3676225 NONE | Investment management fees paid directly by plan Service code 51 | — | $83K |
| ZIPARI, INC. EIN 35-1928243 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $81K |
| PSG CONSULTING LLC EIN 27-2345574 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $79K |
| SOVOS COMPLIANCE, LLC | Other services Service code 49 | — | $77K |
| PENNSYLVANIA JOINT BOARD EIN 23-2929642 PARTY-IN-INTERES | Plan Administrator; Direct payment from the plan Service code 14 | — | $56K |
| CYNOMYS, INC. EIN 82-2668930 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $45K |
| WESTERN STATES REGIONAL JB LOCAL 75 EIN 95-0488945 PARTY-IN-INTEREST | Direct payment from the plan; Plan Administrator Service code 14 | — | $43K |
| METROPOLITAN DATA SOLUTIONS EIN 11-3636486 NONE | Direct payment from the plan; Other services Service code 49 | — | $38K |
| SOUTHWEST REGIONAL JOINT BOARD EIN 43-0822854 PARTY-IN-INTEREST | Direct payment from the plan; Plan Administrator Service code 14 | — | $36K |
| CVS CAREMARK EIN 05-0340626 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $35K |
| ALLIANT INSURANCE SERVICES, INC. | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $28K |
| UNITE HERE HEALTH CENTER EIN 13-5563408 PARTY-IN-INTEREST | Contract Administrator; Direct payment from the plan; Other services Service code 13 | — | $25K |
| DELTA DENTAL OF NEW YORK EIN 11-1980218 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $21K |
| SS&C TECHNOLOGIES EIN 06-1169696 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $21K |
| SLEVIN & HART PC EIN 52-1708613 NONE | Legal; Direct payment from the plan Service code 29 | — | $19K |
| HARDMAN JOHNSTON GLOBAL ADVISORS EIN 13-3257590 NONE | Investment management fees paid directly by plan Service code 51 | — | $18K |
| WORKERS UNITED EIN 26-4459382 PARTY-IN-INTEREST | Direct payment from the plan; Plan Administrator Service code 14 | — | $17K |
| AMALGAMATED BANK EIN 13-4920330 PARTY-IN-INTEREST | Custodial (securities); Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 19 | — | $16K |
| PARAMETRIC PORTFOLIO ASSOCIATES EIN 20-0292745 NONE | Investment management fees paid directly by plan Service code 51 | — | $14K |
| PLASTIC GRAPHIC COMPANY NONE | Other services; Direct payment from the plan Service code 49 | 255 INDUSTRIAL DRIVE WAUCONDA, IL 60084 | $14K |
| MID-ATLANTIC REGIONAL JOINT BOARD EIN 52-1367543 PARTY-IN-INTEREST | Plan Administrator; Direct payment from the plan Service code 14 | — | $10K |
| SEIU LOCAL 49 EIN 93-0131365 PARTY-IN-INTEREST | Other services; Direct payment from the plan Service code 49 | — | $10K |
| SOUTHERN SELF STORAGE NONE | Direct payment from the plan; Plan Administrator Service code 14 | 2 CALLE CONCEPCION SAN JUAN, PR 009092508 | $8K |
| LADIES GARMENT WORKERS CENTER INC EIN 04-2055306 NONE | Direct payment from the plan; Other services Service code 49 | — | $5K |
| ALLIANT INSURANCE SERVICES, INC EIN 33-0785439 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $0 |
| SOVOS COMPLIANCE LLC EIN 46-1379693 NONE | Other services Service code 49 | — | $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 | 16,756 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12,656 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 29,412 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | HEALTH PLAN OF NEVADA | 1,188 | $6.6M |
| Dental(5 contracts, 4 carriers) | DELTA DENTAL OF NEW YORK | 364 | $102K |
| Vision | VISION SERVICE PLAN | 409 | $39K |
| Life insurance(3 contracts) | THE AMALGAMATED LIFE INSURANCE COMPANY | 16,945 | $1.6M |
| Short-term disability | THE AMALGAMATED LIFE INSURANCE COMPANY | 16,887 | $1.1M |
| Prescription drug | HEALTH PLAN OF NEVADA | 1,188 | $5.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 16,945 | — |
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.