| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BOULEVARD, 2ND FLOOR HAUPPAUGE, NY 11788 | HARTFORD LIFE INSURANCE CO | $5K | $2K | $7K | 16.71% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DICKINSON GROUP, LLC EIN 20-1241472 SERVICES RELATED PLAN | Contract Administrator Service code 13 | — | $829K |
| EMPIRE BLUE CROSS & BLUE SHIELD EIN 13-3874803 NONE | Claims processing Service code 12 | — | $254K |
| AMERICAN HEALTH HOLDING EIN 31-1368946 NONE | Claims processing Service code 12 | — | $103K |
| BUCHBINDER TUNICK & CO. LLP EIN 13-1578842 SERVICES RELATED PLAN | Accounting (including auditing) Service code 10 | — | $87K |
| SELE-DENT, INC. EIN 11-3310187 NONE | Claims processing Service code 12 | — | $86K |
| FRIEDMAN AND ANSPACH EIN 13-3403675 SERVICES RELATED PLAN | Legal Service code 29 | — | $80K |
| NYA PARTNERS, INC. EIN 20-8207128 NONE | Claims processing Service code 12 | — | $24K |
| NEW ENGLAND PENSION CONSULTANTS EIN 26-1429809 SERVICES RELATED PLAN | Investment management fees paid directly by plan Service code 51 | — | $14K |
| AMALGAMATED BANK EIN 13-4920330 SERVICES RELATED | Custodial (securities) Service code 19 | — | $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 | 1,917 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,917 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE INSURANCE CO | 1,821 | $41K |
| Other | HARTFORD LIFE INSURANCE CO | 1,821 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,821 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.