| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PRES WHITE AGENCY INC.4 Filed as: PRES WHITE AGENCY, INC. | 76 NORTH BROADWAY IRVINGTON, NY 105331238 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 4.21% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA EIN 06-0303370 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | 499 WASHINGTON BLVD. 4TH FLOOR JERSEY CITY, NJ 07310 | $686K |
| MAXON COMPANY EIN 13-2611019 CONTRACT ADMINISTRATOR | Contract Administrator; Actuarial; Claims processing Service code 11 | 76 NORTH BROADWAY IRVINGTON, NY 10533 | $461K |
| TAB COMPUTER SYSTEMS EIN 06-1297933 COMPUTER CONSULTANT | Other fees Service code 99 | 29-31 BISSELL STREET EAST HARTFORD, CT 06108 | $205K |
| BARBARA FEDUMENTI EIN 06-6069081 EMPLOYEE | Employee (plan) Service code 30 | 30 MARINA DRIVE STRATFORD, CT 06614 | $92K |
| WEISERMAZARS LLP EIN 13-1459550 ACCOUNTANT | Accounting (including auditing) Service code 10 | 60 CROSSWAYS PK. DRIVE WEST STE 301 WOODBURY, NY 11797 | $89K |
| THE SEGAL COMPANY EIN 13-1835864 CONSULTANT | Consulting fees Service code 70 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $78K |
| RIVKIN RADLER LLP EIN 11-1853927 ATTORNEY | Legal Service code 29 | 926 REXCORP PLAZA UNIONDALE, NY 11556 | $66K |
| LYNN CORTEZ-REYES EIN 06-6069081 EMPLOYEE | Employee (plan) Service code 30 | 95 OVERLOOK AVENUE FAIRFIELD, CT 06430 | $61K |
| PATRICIA LAZZARA EIN 06-6069081 EMPLOYEE | Employee (plan) Service code 30 | 82 WOODBINE CIRCLE BRIDGEPORT, CT 06606 | $60K |
| ROSE MARIE ARLIO EIN 06-6069081 EMPLOYEE | Employee (plan) Service code 30 | 28 WHITE BIRCH DRIVE TRUMBULL, CT 06611 | $56K |
| DENISE FULLERTON EIN 06-6069081 EMPLOYEE | Employee (plan) Service code 30 | 166 ROBERTS STREET BRIDGEPORT, CT 06606 | $53K |
| JAMIE GARNETT EIN 06-6069081 EMPLOYEE | Employee (plan) Service code 30 | 59 ROUND HILL ROAD TRUMBULL, CT 06611 | $49K |
| KATIE WILKINSON EIN 34-9506680 EMPLOYEE | Employee (plan) Service code 30 | 880 VALLEY ROAD FAIRFIELD, CT 06825 | $48K |
| CHRISTOPHER LEE EIN 06-6069081 EMPLOYEE | Employee (plan) Service code 30 | 33 SASAPEQUAN ROAD FAIRFIELD, CT 06430 | $44K |
| UBS FINANCIAL SERVICES INC. EIN 13-2638166 INVESTMENT ADVISORY | Other fees Service code 99 | 1285 AVENUE OF THE AMERICAS NEW YORK, NY 10019 | $40K |
| UNION INSURANCE GROUP EIN 36-4226088 NONE | Insurance services Service code 23 | 2125 W. ROSCOE ST. CHICAGO, IL 60618 | $30K |
| ALLIANCE BERNSTEIN EIN 13-4064930 NONE | Investment management fees paid directly by plan Service code 51 | 1345 AVENUE OF THE AMERICAS NEW YORK, NY 10105 | $13K |
| EATON VANCE INVESTMENT MANAGERS EIN 04-3101341 NONE | Insurance services Service code 23 | TWO INTERNATIONAL PLACE, SUITE 1400 BOSTON, MA 02110 | $13K |
| FIRST AMERICAN ADMINISTRATORS EIN 86-0773195 NONE | Claims processing Service code 12 | 14670 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693 | $12K |
| ADP EIN 22-1467904 PAYROLL SERVICES | Recordkeeping fees Service code 64 | 99 JEFFERSON ROAD PARSIPPANY, NJ 07054 | $11K |
| JIM HUGHES EIN 06-6069081 ACCOUNTANT | Accounting (including auditing) Service code 10 | 28 WHITE BIRCH DRIVE TRUMBULL, CT 06611 | $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 | 4,964 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,964 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 5,147 | $80K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 5,147 | $80K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 5,147 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,147 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.