| 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 | $1K | $394 | $2K | 20.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| FRIEDMAN AND ANSPACH EIN 13-3403675 SERVICES RELATED PLAN | Legal Service code 29 | — | $143K |
| DICKINSON GROUP, LLC EIN 20-1241472 SERVICES RELATED PLAN | Contract Administrator; Plan Administrator Service code 13 | — | $114K |
| BUCHBINDER TUNICK & CO. LLP EIN 13-1578842 SERVICES RELATED PLAN | Accounting (including auditing) Service code 10 | — | $98K |
| PAYER MATRIX EIN 81-3946362 NONE | Claims processing Service code 12 | — | $85K |
| EMPIRE BLUE CROSS & BLUE SHIELD EIN 23-7391136 NONE | Claims processing Service code 12 | — | $53K |
| MINTZ & GOLD LLP EIN 11-3179008 SERVICES REL. PLN & UNION | Legal Service code 29 | — | $12K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal Service code 29 | — | $12K |
| SELE-DENT, INC. EIN 11-3310187 NONE | Claims processing Service code 12 | — | $10K |
| AMERICAN HEALTH HOLDING EIN 31-1368946 NONE | Claims processing Service code 12 | — | $10K |
| TEAMSTERS CENTER SERVICES EIN 13-1964856 NONE | Claims processing Service code 12 | — | $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 | 16 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 16 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE INSURANCE CO | 14 | $8K |
| Other | HARTFORD LIFE INSURANCE CO | 14 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 14 | — |
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.