No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 36-1236610 NONE | Claims processing Service code 12 | — | $339K |
| RANDELL ROVIRA EIN 72-0450650 SERVICES REL BENEFIT PLAN | Employee (plan) Service code 30 | — | $85K |
| ASMED HEALTH LLC EIN 27-4189010 NONE | Consulting (general) Service code 16 | — | $72K |
| ISSI EIN 23-2182079 SERVICES REL BENEFIT PLAN | Consulting (general) Service code 16 | — | $71K |
| JOSHUA MATHERNE EIN 72-0450650 SERVICES REL BENEFIT PLAN | Employee (plan) Service code 30 | — | $65K |
| DEBRA BLACKWELL EIN 72-0450650 SERVICES REL BENEFIT PLAN | Employee (plan) Service code 30 | — | $47K |
| MICHELLE FREGIA EIN 72-0450650 SERVICES REL BENEFIT PLAN | Employee (plan) Service code 30 | — | $45K |
| BUCHBINDER TUNICK & CO. LLP EIN 13-1578842 SERVICES REL BENEFIT PLAN | Accounting (including auditing) Service code 10 | — | $43K |
| LISA BECNEL EIN 72-0450650 NONE | Employee (plan) Service code 30 | — | $40K |
| MEDCO HEALTH SOLUTIONS, INC. EIN 22-3461740 NONE | Contract Administrator; Claims processing Service code 12 | — | $37K |
| JENNIFER FABRA EIN 72-0450650 SERVICES REL BENEFIT PLAN | Employee (plan) Service code 30 | — | $32K |
| ROBEIN, URANN, SPENCER ET AL EIN 72-0999672 SERVICES REL PLAN & UNION | Legal Service code 29 | — | $26K |
| MED-CARE MANAGEMENT EIN 88-0429522 NONE | Consulting (general) Service code 16 | — | $21K |
| PEDELAHORE & CO. LLP EIN 72-0535866 SERV REL BEN PLAN & UNION | Accounting (including auditing) Service code 10 | — | $18K |
| OSBORN CARREIRO & ASSOCIATES INC. EIN 71-0631123 SERVICES REL BENEFIT PLAN | Actuarial Service code 11 | — | $18K |
| FFC INVEST. ADV. OF RAYMOND JAMES EIN 59-1237041 NONE | Investment management Service code 28 | — | $9K |
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 | 589 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 925 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 395 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,909 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNION LABOR LIFE INSURANCE COMPANY | 678 | $30K |
| Other | UNION LABOR LIFE INSURANCE COMPANY | 678 | $30K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 678 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.