| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES NY LLC | 340 MADISON AVENUE NEW YORK, NY 10173 | AETNA LIFE INSURANCE COMPANY | $88K | — | $88K | 3.34% |
| PROFESSIONAL PENSIONS INC3 | 10 RESEARCH PARKWAY WALLINGFORD, CT 06492 | AETNA LIFE INSURANCE COMPANY | $46K | — | $46K | 1.76% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS GEN AGENCY | 400 BERWYN PARK 899 CASSATT ROAD - SUITE 200 BERWYN, PA 19312 | AETNA LIFE INSURANCE COMPANY | $44K | — | $44K | 1.66% |
| PROFESSIONAL PENSIONS INC3 | 10 RESEARCH PARKWAY WALLINGFORD, CT 06492 | DELTA DENTAL OF NEW YORK | $4K | — | $4K | 4.42% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES LLC | 340 MADISON AVENUE NEW YORK, NY 10173 | DELTA DENTAL OF NEW YORK | $2K | — | $2K | 2.67% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS GEN AGENCY | 400 BERWYN PARK 899 CASSATT ROAD, SUITE 200 BERWYN, PA 19312 | DELTA DENTAL OF NEW YORK | $1K | — | $1K | 1.42% |
| PROFESSIONAL PENSIONS INC3 | 10 RESEARCH PARKWAY WALLINGFORD, CT 06492 | MUTUAL OF OMAHA INSURANCE COMPANY | $6K | $6K | $13K | 16.96% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS GEN AGENCY | 899 CASSATT ROAD SUITE 400 BERWYN, PA 19312 | MUTUAL OF OMAHA INSURANCE COMPANY | $4K | — | $4K | 5.81% |
| TOTALIS BENEFITS3 Filed as: TOTALIS BENEFITS INC | 8777 N GAINEY CENTER DRIVE SUITE 260 SCOTTSDALE, AZ 85258 | MUTUAL OF OMAHA INSURANCE COMPANY | — | $2K | $2K | 3.29% |
| ENROLLEASE3 Filed as: ONEDIGITAL PREMIER SERVICES LLC | 400 BERWYN PARK SUITE 200 BERWYN, PA 19312 | MUTUAL OF OMAHA INSURANCE COMPANY | — | $2K | $2K | 2.03% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HIGHWAY SUITE 600 WEST LAKE HILLS, TX 78746 | MUTUAL OF OMAHA INSURANCE COMPANY | — | $1K | $1K | 1.41% |
| PROFESSIONAL PENSIONS INC3 | 10 RESEARCH PARKWAY WALLINGFORD, CT 06492 | COMPANION LIFE INSURANCE COMPANY | $4K | $4K | $8K | 13.30% |
| FMLA SOURCE INC3 | 455 N CITYFRONT PLAZA DRIVE 13TH FLOOR CHICAGO, IL 60611 | COMPANION LIFE INSURANCE COMPANY | — | $4K | $4K | 6.71% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS GEN AGENCY | 899 CASSATT ROAD SUITE 400 BERWYN, PA 19312 | COMPANION LIFE INSURANCE COMPANY | $3K | — | $3K | 5.01% |
| ENROLLEASE3 Filed as: ONEDIGITAL PREMIER SERVICES LLC | 400 BERWYN PARK SUITE 200 BERWYN, PA 19312 | COMPANION LIFE INSURANCE COMPANY | — | $1K | $1K | 2.08% |
| TOTALIS BENEFITS3 Filed as: TOTALIS BENEFITS INC | 8777 N GAINEY CENTER DRIVE SUITE 260 SCOTTSDALE, AZ 85258 | COMPANION LIFE INSURANCE COMPANY | — | $877 | $877 | 1.45% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY SUITE 600 WEST LAKE HILLS, TX 78746 | COMPANION LIFE INSURANCE COMPANY | — | $836 | $836 | 1.38% |
| PROFESSIONAL PENSIONS INC3 | 10 RESEARCH PARKWAY WALLINGFORD, CT 06492 | DELTA DENTAL OF NEW YORK | $715 | — | $715 | 5.01% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES LLC | 340 MADISON AVENUE NEW YORK, NY 10173 | DELTA DENTAL OF NEW YORK | $398 | — | $398 | 2.79% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS GEN AGENCY | 400 BERWYN PARK 899 CASSATT ROAD, SUITE 200 BERWYN, PA 19312 | DELTA DENTAL OF NEW YORK | $245 | — | $245 | 1.72% |
No Schedule C service providers reported on this filing.
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 | 229 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 229 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 267 | $2.6M |
| Dental(2 contracts) | DELTA DENTAL OF NEW YORK | 195 | $96K |
| Vision | AETNA LIFE INSURANCE COMPANY | 267 | $2.6M |
| Life insurance | COMPANION LIFE INSURANCE COMPANY | 229 | $61K |
| Short-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 229 | $75K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 229 | $75K |
| Other | MUTUAL OF OMAHA INSURANCE COMPANY | 229 | $75K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 267 | — |
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.