| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL MONCADA3 | 333 EARLE OVINGTON BLVD UNIONDALE, NY 11553 | DENTCARE DELIVERY SYSTEMS | $4K | — | $4K | 4.57% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MARY CLANTON EIN 11-1831226 OFFICER | Employee (plan); Direct payment from the plan Service code 30 | — | $120K |
| MAGNACARE ADMINISTRATIVE SERVICES EIN 11-3410766 NONE | Claims processing; Other fees; Direct payment from the plan Service code 12 | — | $97K |
| MALONEY & ASSOCIATES, INC. EIN 11-2219769 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $63K |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $53K |
| J.P. MORGAN SECURITIES, LLC EIN 13-4110995 NONE | Direct payment from the plan; Investment management; Investment management fees paid directly by plan Service code 28 | — | $33K |
| BARNES, IACCARINO & SHEPHERD, LLP EIN 26-3858697 NONE | Legal; Direct payment from the plan Service code 29 | — | $30K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $19K |
| MINSKY & COTTONE, CPAS, PC EIN 11-3223712 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $11K |
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 | 294 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 294 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 319 | $1.5M |
| Dental | DENTCARE DELIVERY SYSTEMS | 268 | $95K |
| Stop-loss / reinsurancereinsurance | UNITED STATES FIRE INSURANCE COMPANY | 273 | $479K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 319 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.