| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GORDON A. PULSIFER3 | PO BOX 265 NORWELL, MA 02061 | HARTFORD LIFE AND ACCIDENT | $88K | — | $88K | 17.98% |
| PFG BENEFITS, INC.3 Filed as: PFG BENEFITS, INC | 117 KENDRICK STREET SUITE 300 NEEDHAM, MA 02494 | VISION SERVICE PLAN | $1K | — | $1K | 5.48% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NOVA HEALTHCARE ADMINISTRATORS EIN 16-6443379 TPA | Other services; Claims processing Service code 12 | 6400 MAIN STREET WILLAIMSVILLE, NY 14221 | $143K |
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 | 391 | 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) | 391 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 177 | $20K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 391 | $492K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 391 | $492K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 391 | $492K |
| Prescription drug | RXBENEFITS, INC. | 355 | $5K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 355 | $1.0M |
| Other | HARTFORD LIFE AND ACCIDENT | 391 | $492K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 391 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.