No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BCBS EIN 36-1236610 NONE | Contract Administrator Service code 13 | — | $262K |
| CARDAY ASSOCIATES, INC. EIN 53-0257019 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $220K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Actuarial Service code 11 | — | $69K |
| CALIBRE CPA GROUP PLLC EIN 47-0900880 AUDITOR FOR LOCAL 9 | Accounting (including auditing) Service code 10 | — | $69K |
| SAMANTHA POSLUSZNY EIN 36-2261990 EMPLOYEE | Employee (plan) Service code 30 | — | $67K |
| BASYS EIN 52-1796473 NONE | Consulting (general) Service code 16 | — | $54K |
| REBECCA THAMES-SIMMONS EIN 36-2261990 EMPLOYEE | Employee (plan) Service code 30 | — | $44K |
| INSTITUTIONAL CAPITAL LLC EIN 13-5582869 NONE | Investment management fees paid directly by plan; Soft dollars commissions; Investment management Service code 28 | — | $38K |
| CAROLE KRUTILLA EIN 36-2261990 EMPLOYEE | Employee (plan) Service code 30 | — | $35K |
| EMPLOYEE RESOURCE SYSTEMS, INC. EIN 36-3867645 NONE | Other services; Employee (plan); Consulting (general) Service code 16 | — | $23K |
| DALEY AND GEORGE, LTD EIN 36-3246372 NONE | Legal Service code 29 | — | $23K |
| TERESA JESIONOSWSKI EIN 36-2261990 EMPLOYEE | Employee (plan) Service code 30 | — | $20K |
| DENTAL NETWORK OF AMERICA EIN 36-3339483 NONE | Other services Service code 49 | — | $15K |
| VISION SERVICE PLAN NONE | Other services Service code 49 | — | $15K |
| MARCO CONSULTING GROUP EIN 36-3555078 NONE | Direct payment from the plan; Other services Service code 49 | — | $8K |
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 | 1,219 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 25 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,244 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY | 0 | $0 |
| Other | PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY | 0 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.