| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BLVD STE. 200 HAUPPAUGE, NY 11788 | CIGNA | — | $54K | $54K | 6.78% |
| ROBERT E. MUZIKOWSKI3 | 837 S. OAKLEY BLVD. CHICAGO, IL 60612 | CIGNA | $32K | — | $32K | 4.00% |
| KABS AGENCY, INC.3 | 77 GRASSLANDS CIRCLE MOUNT SINAI, NY 11766 | CIGNA | $32K | — | $32K | 4.00% |
| ROBERT E. MUZIKOWSKI3 | 837 S. OAKLEY BLVD. CHICAGO, IL 60612 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $10K | — | $10K | 4.97% |
| KABS AGENCY, INC.3 | 77 GRASSLANDS CIR. MOUNT SINAI, NY 11766 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $10K | — | $10K | 4.97% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BLVD. STE. 2 HAUPPAUGE, NY 11788 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | — | $10K | $10K | 4.97% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BLVD. - STE. 200 HAUPPAUGE, NY 11788 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $2K | $2K | 4.97% |
| KABS AGENCY, INC.3 | 77 GRASSLANDS CIRCLE MOUNT SINAI, NY 11766 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 4.22% |
| ROBERT E. MUZIKOWSKI3 Filed as: ROBERT E MUZIKOWSKI | 837 S. OAKLEY BLVD. CHICAGO, IL 60612 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 4.22% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BLVD. STE. 2 HAUPPAUGE, NY 11788 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $3K | $3K | 7.88% |
| ROBERT E. MUZIKOWSKI3 | 837 S. OAKLEY BLVD. CHICAGO, IL 60612 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 5.77% |
| KABS AGENCY, INC.3 | 77 GRASSLANDS CIRCLE MOUNT SINAI, NY 11766 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 5.77% |
| KABS AGENCY, INC.3 | 77 GRASSLANDS CIR. MOUNT SINAI, NY 11766 | VISION SERVICE PLAN | $627 | — | $627 | 8.33% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BLVD. STE. 2 HAUPPAUGE, NY 11788 | VISION SERVICE PLAN | $188 | — | $188 | 2.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH & LIFE INSURANCE CO EIN 59-1031071 CLAIMS PROCESSING | Direct payment from the plan; Claims processing Service code 12 | — | $0 |
| CIGNA HEALTH & LIFE INSURANCE COMPA | Named fiduciary; Direct payment from the plan; Contract Administrator; Non-monetary compensation; Claims processing; Float revenue; Other services; Participant communication Service code 12 | — | $0 |
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 | 258 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 258 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA | 258 | $793K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 161 | $202K |
| Vision | VISION SERVICE PLAN | 73 | $8K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 0 | $47K |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 0 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 258 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.