| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD 2ND FL HAUPPAUGE, NY 11788 | FIRST UNUM LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| WINWOOD ASSOCIATES LTD3 | 43 CROSSWAY DR DEER PARK, NY 11729 | FIRST UNUM LIFE INSURANCE COMPANY | $2K | — | $2K | 4.99% |
| LOUIS C CILIBERTI & ASSOCIATES3 | 980 OLD COUNTRY RD PLAINVIEW, NY 11803 | FIRST UNUM LIFE INSURANCE COMPANY | $2K | — | $2K | 4.99% |
| WINWOOD ASSOCIATES LTD3 | 43 CROSSWAY DR DEER PARK, NY 11729 | FIRST UNUM LIFE INSURANCE COMPANY | $3K | — | $3K | 7.50% |
| LOUIS C CILIBERTI & ASSOCIATES3 | 980 OLD COUNTRY RD PLAINVIEW, NY 11803 | FIRST UNUM LIFE INSURANCE COMPANY | $3K | — | $3K | 7.50% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD 2ND FL HAUPPAUGE, NY 11788 | FIRST UNUM LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| CILIBERTI, LOUIS, C3 | 980 OLD COUNTRY RD PLAINVIEW, NY 11803 | FIRST UNUM LIFE INSURANCE COMPANY | $58 | — | $58 | 1.99% |
| CILIBERTI, LOUIS, C3 | 980 OLD COUNTRY RD PLAINVIEW, NY 11803 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $23 | — | $23 | 1.01% |
No Schedule C service providers reported on this filing.
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 | 30 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 30 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | FIRST UNUM LIFE INSURANCE COMPANY | 28 | $34K |
| Short-term disability(2 contracts, 2 carriers) | FIRST UNUM LIFE INSURANCE COMPANY | 3 | $5K |
| Long-term disability | FIRST UNUM LIFE INSURANCE COMPANY | 30 | $39K |
| Other | FIRST UNUM LIFE INSURANCE COMPANY | 28 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 30 | — |
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.