| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ONEGROUP NY INC3 Filed as: ONEGROUP NY, INC | 706 NORTH CLINTON STREET SYRACUSE, NY 13204 | EMBLEM HEALTH | $324K | $0 | $324K | 3.64% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY, INC | 706 NORTH CLINTON STREET SYRACUSE, NY 13204 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $23K | $0 | $23K | 5.90% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BOULEVARD, SUITE 200 HAUPPAUGH, NY 11788 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $0 | $13K | $13K | 3.19% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY, INC | 706 NORTH CLINTON STREET SYRACUSE, NY 13204 | STANDARD INSURANCE COMPANY | $34K | $6K | $39K | 11.65% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BOULEVARD HAUPPAUGH, NY 11788 | STANDARD INSURANCE COMPANY | $0 | $26K | $26K | 7.60% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY, INC | 706 NORTH CLINTON STREET SYRACUSE, NY 13204 | ANTHEM BLUE CROSS AND BLUE SHIELD | $18K | $0 | $18K | 13.16% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BOULEVARD HAUPPAUGH, NY 11788 | ANTHEM BLUE CROSS AND BLUE SHIELD | $0 | $5K | $5K | 3.95% |
| PREMIER WORKSITE SOLUTIONS INC3 Filed as: PREMIER WORKSITE SOLUTIONS | 700 KINDERKAMACK ROAD, SUITE 205 ORADELL, NJ 07649 | TRANSAMERICA | $11K | $0 | $11K | 8.64% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY, INC | 706 NORTH CLINTON STREET SYRACUSE, NY 13204 | TRANSAMERICA | $4K | $0 | $4K | 3.36% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY, INC | 706 NORTH CLINTON STREET SYRACUSE, NY 13204 | FIRST UNUM LIFE INSURANCE COMPANY | $107 | $0 | $107 | 7.49% |
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 | 1,353 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,356 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EMBLEM HEALTH | 829 | $8.9M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 635 | $398K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 635 | $398K |
| Life insurance(4 contracts, 4 carriers) | STANDARD INSURANCE COMPANY | 1,353 | $605K |
| Short-term disability | TRANSAMERICA | 411 | $129K |
| Long-term disability(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 1,353 | $475K |
| Prescription drug | EMBLEM HEALTH | 829 | $8.9M |
| Other(3 contracts, 3 carriers) | ANTHEM BLUE CROSS AND BLUE SHIELD | 1,353 | $269K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,353 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.