| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PFG BENEFITS, INC.3 Filed as: PFG BENEFITS INC. | 117 KENDRICK ST STE 3000 NEEDHAM, MA 02494 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 3.12% |
| PFG BENEFITS, INC.3 | 117 KENDRICK STREET SUITE 300 NEEDHAM, MA 02494 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 10.00% |
| LEISMAN INSURANCE AGENCY INC3 | 800 SOUTH ST SUITE 650 WALTHAM, MA 02453 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $14K | — | $14K | 19.87% |
| LEISMAN INSURANCE AGENCY INC3 Filed as: LEISMAN INS AGNCY INC | 800 SOUTH ST PO BOX 9020 WALTHAM, MA 02254 | RELIANCE STANDARD LIFE INSURANCE CO | $5K | — | $5K | 8.51% |
| GCG FINANCIAL LLC3 Filed as: DBL GENERAL AGENCY | 155 PINELAWN ROAD STE 120 MELVILLE, NY 17747 | RELIANCE STANDARD LIFE INSURANCE CO | $3K | — | $3K | 5.00% |
| LEISMAN INSURANCE AGENCY INC3 | 800 SOUTH ST SUITE 650 WALTHAM, MA 02453 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $597 | — | $597 | 11.05% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GUARDIAN LIFE INSURANCE CO EIN 13-5123390 CONTRACT ADMINISTRATOR | Claims processing Service code 12 | 10 HUDSON YARDS NEW YORK, NY 10001 | $5K |
| PFG BENEFITS, INC. EIN 47-2257650 INSURANCE AGENT | Insurance agents and brokers Service code 22 | 117 KENDRICK STREET SUITE 300 NEEDHAM, MA 02494 | $506 |
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 | 130 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 133 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 179 | $121K |
| Life insurance(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE CO | 130 | $61K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 123 | $83K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 130 | $132K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 179 | — |
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.