| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GORDON A. PULSIFER3 | PO BOX 265 NORWELL, MA 02061 | HARTFORD LIFE AND ACCIDENT | $105K | $2K | $107K | 21.80% |
| PFG BENEFITS, INC.3 Filed as: PFG BENEFITS, INC | 117 KENDRICK STREET SUITE 300 NEEDHAM, MA 02494 | VISION SERVICE PLAN | $855 | — | $855 | 5.96% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NOVA HEALTHCARE ADMINISTRATORS EIN 16-6443379 TPA | Claims processing; Other services Service code 12 | 6400 MAIN STREET WILLAIMSVILLE, NY 14221 | $135K |
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 | 408 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 409 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 142 | $14K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 408 | $491K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 408 | $491K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 408 | $491K |
| Prescription drug | RXBENEFITS, INC. | 346 | $4K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 342 | $1.1M |
| Other | HARTFORD LIFE AND ACCIDENT | 408 | $491K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 408 | — |
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.