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 |
|---|---|---|---|
| BROOKHAVEN COUNTRY DAY CAMP EIN 11-2847664 NONE | Other fees Service code 99 | 79 LONG ISLAND AVENUE YAPHANK, NY 11980 | $30K |
| WATSONRICE LLP EIN 26-1726741 NONE | Accounting (including auditing) Service code 10 | 5 PENN PLAZA 15TH FLOOR NEW YORK, NY 10001 | $13K |
| HEBREW EDUCATIONAL SOCIETY EIN 11-1642720 NONE | Other fees Service code 99 | 9502 SEVENTH AVENUE BROOKLYN, NY 11236 | $12K |
| A-LIST SERVICES, LLC EIN 03-0568421 NONE | Other fees Service code 99 | 363 7TH AVENUE 13TH FLOOR NEW YORK, NY 10001 | $12K |
| GREAT SOUTH BAY YMCA EIN 11-1649914 NONE | Other fees Service code 99 | 200 W MAIN STREET BAY SHORE, NY 11706 | $11K |
| BRONX HOUSE DAY CAMP EIN 13-1739935 NONE | Other fees Service code 99 | 990 PELHAM PARKWAY OFFICE OF THE BURSAR-COLSTON HALL BRONX, NY 10453 | $11K |
| ADP, INC. EIN 22-3006057 NONE | Other services Service code 49 | PO BOX 9001006 LOUISVILLE, KY 40290 | $9K |
| FRENCH WOODS PERFORMING ARTS CAMP, EIN 20-1704509 NONE | Other fees Service code 99 | PO BOX 609 HANCOCK, NY 13783 | $9K |
| MOSHOLU MONTEFIORE COMM.CTR, INC. EIN 13-3622107 NONE | Other fees Service code 99 | 3450 DEKALB AVENUE BRONX, NY 10467 | $8K |
| FITMAR MANAGEMENT LLC DBA PAERDEGAT EIN 20-1365613 NONE | Other fees Service code 99 | 1500 PAERDEGAT AVENUE NORTH BROOKLYN, NY 11236 | $6K |
| MILL BASIN DAY CAMP EIN 11-3416534 NONE | Other fees Service code 99 | 5945 STRICKLAND AVENUE BROOKLYN, NY 11234 | $6K |
| FUN STATION SUMMER DAY CAMP, INC DB EIN 81-4327990 NONE | Other fees Service code 99 | 132 DEMOPOLIS AVENUE STATEN ISLAND, NY 10308 | $6K |
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 | 15,459 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 15,459 | 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."
No prospect flags tripped on this filing.