| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SBI BENEFITS CONSULTANTS3 | 68 NATIONAL DRIVE GLASTONBURY, CT 06033 | HARVARD PILGRIM HEALTH CARE | $22K | $0 | $22K | 3.75% |
| EMERSON REID LLC3 Filed as: EMERSON REID, LLC | 350 5TH AVENUE, SUITE 3700 NEW YORK, NY 10118 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $12K | $4K | $16K | 19.87% |
| SBI BENEFITS CONSULTANTS3 | 68 NATIONAL DRIVE, SUITE 2 GLASTONBURY, CT 06033 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $98 | $4K | $4K | 4.98% |
| PROGRESSIVE BENEFIT SOLUTIONS LLC5 Filed as: PROGRESSIVE BENEFIT SOLUTIONS, LLC | 14 BUSINESS PARK DRIVE, SUITE 8 BRANFORD, CT 06405 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 2.40% |
| SBI BENEFITS CONSULTANTS3 | 2 MECHANIC STREET EASTHAMPTON, MA 01027 | ALTUS DENTAL INSURANCE COMPANY, INC. | $3K | $0 | $3K | 7.01% |
| SBI BENEFITS CONSULTANTS3 | 68 NATIONAL DRIVE GLASTONBURY, CT 06033 | EYEMED VISION CARE ON BEHALF OF COMBINED INSURANCE COMPANY OF AMERICA | $327 | $0 | $327 | 7.76% |
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 | 53 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 53 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HARVARD PILGRIM HEALTH CARE | 75 | $598K |
| Dental | ALTUS DENTAL INSURANCE COMPANY, INC. | 95 | $50K |
| Vision | EYEMED VISION CARE ON BEHALF OF COMBINED INSURANCE COMPANY OF AMERICA | 59 | $4K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 53 | $78K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 53 | $78K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 53 | $78K |
| Prescription drug | HARVARD PILGRIM HEALTH CARE | 75 | $598K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 53 | $78K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 95 | — |
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.