| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MADISON CONSULTING GROUP, LLC | 100 S BEDFORD RD STE 340 MOUNT KISCO, NY 105493444 | STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK | — | — | $0 | 0.00% |
| MADISON CONSULTING GROUP, LLC3 | 100 S BEDFORD RD STE 340 MOUNT KISCO, NY 105493444 | STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK | $0 | — | $0 | 0.00% |
| QUANTUM FINANCIAL STRATEGIES3 Filed as: QUANTUM FINANCIAL STRATEGIES INC | 100 S BEDFORD RD STE 340 MOUNT KISCO, NY 105493444 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | — | $7K | 8.31% |
| MMG AGENCY INC.3 Filed as: MMG AGENCY | 32 BROADWAY STE 1818 NEW YORK, NY 10004 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4K | $4K | 4.15% |
| QUANTUM FINANCIAL STRATEGIES3 Filed as: QUANTUM FINANCIAL STRATEGIES INC | 100 S BEDFORD RD STE 340 MOUNT KISCO, NY 105493444 | HARTFORD LIFE AND ACCIDENT | $287 | — | $287 | 8.36% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HORIZON HEALTHCARE SERVICES, INC, EIN 22-0999690 NONE | Claims processing; Contract Administrator Service code 12 | — | $1.1M |
| PITTA GIBLIN, LLP EIN 26-3852082 PROV SVCS REL ORG | Legal; Direct payment from the plan Service code 29 | — | $85K |
| DICKINSON GROUP, LLC EIN 20-1241472 NONE | Actuarial Service code 11 | — | $74K |
| AMY SLYVCHAK EIN 11-1782177 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $57K |
| BUCHBINDER TUNICK & CO., LLP EIN 13-1578842 PROV SVCS REL ORG | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $50K |
| RYAN LABS ASSET MANAGEMENT INC. EIN 47-3503928 NONE | Direct payment from the plan; Investment management Service code 28 | — | $46K |
| ILIANA OROZCO EIN 11-1782177 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $45K |
| DIANE SCOTT EIN 11-1782177 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $42K |
| DEBORAH GONZALEZ EIN 11-1782177 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $32K |
| LOOMIS SAYLES & COMPANY, L.P. EIN 04-3200030 NONE | Investment management; Soft dollars commissions; Investment management fees paid directly by plan Service code 28 | — | $24K |
| GLADYS RODRIGUEZ EIN 11-1782177 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $23K |
| SUMMIT ACTUARIAL, LLC EIN 20-3838633 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $13K |
| AMALGAMATED BANK EIN 13-4920330 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $7K |
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 | 1,595 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,595 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,842 | $88K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 23 | $3K |
| Stop-loss / reinsurancereinsurance(2 contracts) | STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK | 1,415 | $870K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,842 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.