| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN CORPORATE BENEFITS INC3 Filed as: AMERICAN CORPORATE BENEFITS INC. | 62 WILLIAM STREET, 4TH FLOOR NEW YORK, NY 100051520 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | $16K | — | $16K | 20.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAGNACARE ADMINISTRATIVE SERVICES EIN 11-3410766 NONE | Other fees; Claims processing; Other commissions Service code 12 | — | $1.3M |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Custodial (securities) Service code 19 | — | $107K |
| EXPRESS SCRIPTS, INC. EIN 22-3461740 NONE | Claims processing Service code 12 | — | $89K |
| NATIONAL INVESTMENT SERVICES, INC. EIN 80-0169636 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $58K |
| COMPSPEC DESIGNS, INC. EIN 11-2603761 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $52K |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 NONE | Accounting (including auditing) Service code 10 | — | $48K |
| THE SAVITZ ORGANIZATION, INC. EIN 23-1700844 NONE | Actuarial Service code 11 | — | $39K |
| FIRST DATA MERCHANT SERVICES CORP NONE | Other services Service code 49 | 1307 WALT WHITMAN RD MELVILLE, NY 11747 | $35K |
| ARCHER, BYINGTON, GLENNON & LEVINE EIN 26-0873462 NONE | Legal Service code 29 | — | $33K |
| LOOMIS SAYLES TRUST COMPANY, LLC EIN 20-8080381 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $31K |
| DAVIS VISION, INC. EIN 11-3051991 NONE | Claims processing Service code 12 | — | $8K |
| KORN ROSENBAUM, LLP EIN 13-2839140 NONE | Accounting (including auditing) Service code 10 | — | $6K |
| MARCO CONSULTING GROUP INC. EIN 36-3555078 NONE | Investment advisory (plan) Service code 27 | — | $5K |
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 | 1,392 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 913 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,305 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,866 | $170K |
| Other | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | 2,019 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,019 | — |
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.