| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENV INSURANCY AGENCY3 | 7789 OSWEGO ROAD LIVERPOOL, NY 13090 | HM LIFE INSURANCE COMPANY | $7K | — | $7K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LIFETIME BENEFIT SOLUTIONS EIN 16-1171765 TPA | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator Service code 12 | 115 CONTINUUM DRIVE LIVERPOOL, NY 13088 | $205K |
| PRIVATE HEALTH CARE SYSTEMS/MULTIPL EIN 13-3068979 TPA | Contract Administrator Service code 13 | PO BOX 29380 NEW YORK, NY 10087 | $65K |
| HEALTHSMART PREFERRED NETWORK EIN 34-1675523 TPA | Contract Administrator Service code 13 | PO BOX 846038 DALLAS, TX 75284 | $21K |
| CORPORATE CARE MANAGEMENT EIN 16-1181119 TPA | Contract Administrator Service code 13 | 1 KATTELVILLE ROAD BINGHAMTON, NY 13901 | $13K |
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 | 721 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 724 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | HM LIFE INSURANCE COMPANY | 488 | $71K |
| Life insurance | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | 721 | $503K |
| Short-term disability | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | 721 | $503K |
| Long-term disability | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | 721 | $503K |
| Stop-loss / reinsurancereinsurance | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S) | 537 | $873K |
| Other | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | 721 | $503K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 721 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.