| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| A C EDWARDS INC.3 | 140 GREENE AVENUE PO BOX 428 SAYVILLE, NY 117820428 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 9.93% |
| A C EDWARDS INC.3 Filed as: A. C. EDWARDS, INC. | 140 GREENE AVENUE PO BOX 428 SAYVILLE, NY 117820428 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EDWARDS & COMPANY EIN 11-0707930 NONE | Other services Service code 49 | — | $78K |
| ULTRA BENEFITS EIN 04-3525752 NONE | Contract Administrator Service code 13 | — | $26K |
| CIGNA EIN 59-1031071 NONE | Other services Service code 49 | — | $22K |
| AMERICAN HEALTH HOLDINGS EIN 31-1368946 NONE | Other services Service code 49 | — | $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 | 144 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 148 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 157 | $13K |
| Long-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 35 | $10K |
| Other | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 157 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 157 | — |
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.