| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CFM INSURANCE AGENCY3 Filed as: CFM INSURANCE AGENCY INC | 50 N BROCKWAY ST STE 5-2 PALATINE, IL 60067 | THE LINCOLN FINANCIAL LIFE INSURANCE COMPANY | $7K | — | $7K | 8.30% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES NY LLC | 340 MADISON AVE FL 21 NEW YORK, NY 10173 | THE LINCOLN FINANCIAL LIFE INSURANCE COMPANY | $1K | — | $1K | 1.70% |
| CFM INSURANCE AGENCY3 Filed as: CFM INSURANCE AGENCY INC | 50 N BROCKWAY ST STE 5-2 PALATINE, IL 60067 | HARTFORD LIFE AND ACCIDENT | $8K | — | $8K | 9.97% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES NY LLC | 340 MADISON AVE FL 21 NEW YORK, NY 10173 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 2.03% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES NY LLC | 340 MADISON AVE FL 21 NEW YORK, NY 10173 | VISION SERVICE PLAN | $1K | — | $1K | 4.84% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES NY LLC | 340 MADISON AVE FL 21 NEW YORK, NY 10173 | HRC TOTAL SOLUTIONS | $0 | — | $0 | 0.00% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES NY LLC | 340 MADISON AVE FL21 NEW YORK, NY 10173 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. MEDICAL | $2K | $14K | $16K | — |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES NY LLC | 340 MADISON AVE FL21 NEW YORK, NY 10173 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. DENTAL | $7K | $0 | $7K | — |
No Schedule C service providers reported on this filing.
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 | 354 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 354 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. MEDICAL | 652 | $0 |
| Dental | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. DENTAL | 626 | $0 |
| Vision | VISION SERVICE PLAN | 141 | $28K |
| Life insurance | THE LINCOLN FINANCIAL LIFE INSURANCE COMPANY | 354 | $84K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 354 | $80K |
| Other(2 contracts, 2 carriers) | THE LINCOLN FINANCIAL LIFE INSURANCE COMPANY | 354 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 652 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.