| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMALGAMATED EMPLOYEE BENEFITS ADMIN3 | 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 | HEALTH PLAN OF NEVADA | $158K | — | $158K | 2.47% |
| CARLOS REYNOSO3 | — | BLUE CROSS OF CALIFORNIA (G0200) | $39K | — | $39K | 4.63% |
| FRANKIE DIAZ OTERO3 | RR 4 BOX 3414 BAYAMON, PR 00956 | MCS LIFE INSURANCE COMPANY | $14K | — | $14K | 6.64% |
| FRANKIE DIAZ OTERO3 | RR4 BOX 3414 BAYAMON, PR 00956 | DELTA DENTAL OF PUERTO RICO, INC | $1K | — | $1K | 9.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMALGAMATED EMPLOYEE BENEFITS ADMIN EIN 13-3432221 OWNED BY PARTY-IN-INTERES | Other services; Contract Administrator; Direct payment from the plan Service code 13 | — | $33.3M |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Contract Administrator; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Float revenue Service code 12 | — | $3.6M |
| ANTHEM BLUE CROSS BLUE SHIELD EIN 23-7391136 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $3.1M |
| AMALGAMATED MEDICAL CARE MANAGEMENT EIN 13-3432221 OWNED BY PARTY-IN-INTERES | Other services; Direct payment from the plan Service code 49 | — | $1.9M |
| SCHULTE ROTH & ZABEL LLP EIN 13-2633996 NONE | Legal; Direct payment from the plan Service code 29 | — | $1.8M |
| BLUE CROSS BLUE SHIELD OF MASSACHUS EIN 04-1045815 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $1.0M |
| CHICAGO AND MIDWEST REGIONAL JT BD EIN 36-2938055 PARTY-IN-INTEREST | Plan Administrator; Direct payment from the plan; Other services Service code 14 | — | $154K |
| SIDNEY HILLMAN HEALTH CENTER EIN 36-2245908 PARTY-IN-INTEREST | Claims processing; Direct payment from the plan Service code 12 | — | $153K |
| ZIPARI, INC. EIN 35-1928243 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $112K |
| SOUTHERN REGIONAL JOINT BOARD WORKE EIN 58-1086875 PARTY-IN-INTEREST | Plan Administrator; Direct payment from the plan Service code 14 | — | $111K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $80K |
| PSG CONSULTING LLC EIN 27-2345574 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $75K |
| NY/NJ JOINT BOARD - WORKERS UNITED EIN 13-4908365 PARTY-IN-INTEREST | Plan Administrator; Direct payment from the plan Service code 14 | — | $74K |
| PENNSYLVANIA JOINT BOARD EIN 23-2929642 PARTY-IN-INTEREST | Plan Administrator; Direct payment from the plan Service code 14 | — | $61K |
| CVS CAREMARK EIN 05-0340626 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $59K |
| METROPOLITAN DATA SOLUTIONS EIN 11-3636486 NONE | Other services; Direct payment from the plan Service code 49 | — | $50K |
| MARINER INSTITUTIONAL, LLC EIN 59-3676225 NONE | Investment management fees paid directly by plan Service code 51 | — | $50K |
| WESTERN STATES REGIONAL JB LOCAL 75 EIN 95-0488945 PARTY-IN-INTEREST | Plan Administrator; Direct payment from the plan Service code 14 | — | $45K |
| PARAMETRIC PROTFOLIO ASSOCIATES EIN 20-0292745 NONE | Investment management fees paid directly by plan Service code 51 | — | $41K |
| AMALGAMATED LIFE INSURANCE EIN 13-5501223 OWNED BY PARTY-IN-INTERES | Direct payment from the plan; Other services Service code 49 | — | $39K |
| CYNOMYS, INC. EIN 82-2668930 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $37K |
| SOVOS COMPLIANCE, LLC | Other services Service code 49 | — | $32K |
| ALLIANT INSURANCE SERVICES, INC. EIN 33-0785439 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $27K |
| SS&C TECHNOLOGIES EIN 06-1169696 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $26K |
| DELTA DENTAL OF NY EIN 11-1980218 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $23K |
| WORKERS UNITED EIN 26-4459382 PARTY-IN-INTEREST | Plan Administrator; Direct payment from the plan Service code 14 | — | $21K |
| UNITE HERE HEALTH CENTER EIN 13-5563408 PARTY-IN-INTEREST | Direct payment from the plan; Other services; Contract Administrator Service code 13 | — | $18K |
| AMALGAMATED BANK EIN 13-4920330 PARTY-IN-INTEREST | Investment management fees paid directly by plan; Investment management fees paid indirectly by plan; Custodial (securities) Service code 19 | — | $18K |
| HARDMAN JOHNSTON GLOBAL ADVISORS EIN 13-3257590 NONE | Investment management fees paid directly by plan Service code 51 | — | $12K |
| SEIU LOCAL 49 EIN 93-0131365 PARTY-IN-INTEREST | Other services; Direct payment from the plan Service code 49 | — | $10K |
| NSA STORAGE NONE | Direct payment from the plan; Other services Service code 49 | 2 CALLE CONCEPCION SAN JUAN, PR 009092508 | $9K |
| SOUTHWEST REGIONAL JOINT BOARD EIN 43-0822854 PARTY-IN-INTEREST | Direct payment from the plan; Plan Administrator Service code 14 | — | $8K |
| MID-ATLANTIC REGIONAL JOINT BOARD EIN 52-1367543 PARTY-IN-INTEREST | Direct payment from the plan; Plan Administrator Service code 14 | — | $6K |
| LADIES GARMENT WORKERS CENTER, INC. EIN 04-2055306 NONE | Other services; Direct payment from the plan Service code 49 | — | $5K |
| 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 | 16,342 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10,360 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 26,702 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | HEALTH PLAN OF NEVADA | 1,155 | $7.4M |
| Dental(3 contracts, 2 carriers) | DELTA DENTAL OF NEW YORK | 373 | $109K |
| Vision | VISION SERVICE PLAN | 295 | $32K |
| Life insurance(3 contracts) | THE AMALGAMATED LIFE INSURANCE COMPANY | 16,469 | $1.7M |
| Short-term disability | THE AMALGAMATED LIFE INSURANCE COMPANY | 16,429 | $1.0M |
| Prescription drug | HEALTH PLAN OF NEVADA | 1,155 | $6.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 16,469 | — |
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.