| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALICARE, INC3 Filed as: ALICARE, INC. | — | GUARDIAN | — | $1K | $1K | 1.98% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH EIN 06-1475928 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing; Other services; Direct payment from the plan; Contract Administrator Service code 12 | — | $507K |
| EMPLOYEE A EIN 06-0691728 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $166K |
| UBS FINANCIAL SERVICES, INC. EIN 13-2638166 NONE | Account maintenance fees; Other fees; Investment advisory (plan); Custodial (securities) Service code 19 | — | $126K |
| EMPLOYEE D EIN 06-0691728 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $113K |
| EMPLOYEE B EIN 06-0691728 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $112K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $107K |
| EMPLOYEE E EIN 06-0691728 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $105K |
| EMPLOYEE C EIN 06-0691728 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $94K |
| O'SULLIVAN ASSOCIATES INC EIN 22-1837827 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $54K |
| MEDCARE MANAGEMENT EIN 88-0429522 NONE | Contract Administrator Service code 13 | — | $53K |
| EXPRESS SCRIPTS, INC. EIN 22-3461740 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $43K |
| ROBERT M CHEVERIE & ASSOCIATES EIN 06-1335139 NONE | Legal; Direct payment from the plan Service code 29 | — | $40K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $31K |
| COOKE & BIELER, INC. EIN 23-3082822 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $31K |
| MASSUCCI & ASSOCIATES EIN 06-1462567 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $24K |
| MPL LLC NONE | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 23 MAIDEN LANE NORTH HAVEN, CT 06473 | $20K |
| ROTHSCHILD ASSET MANAGEMENT EIN 13-2544634 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $17K |
| DAVIS VISION EIN 11-3051991 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $15K |
| BUDGET PRINTERS & OFFICE SUPPLIES EIN 06-1073579 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $13K |
| EATON VANCE CORP. EIN 04-3101341 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $13K |
| BOYD WATTERSON ASSET MANAGMENT EIN 34-1922005 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $11K |
| BUCKLEY,FRAME,BOUDREAU & CO., P.C. EIN 06-0931761 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $8K |
| TRUSTEE TRUSTEE | Trustee (directed); Direct payment from the plan Service code 25 | 18 BRITTON DRIVE BLOOMFIELD, CT 06002 | $6K |
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 | 1,435 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 646 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,081 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN | 1,492 | $66K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,814 | $191K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 1,206 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,814 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.