| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND | 2000 CHAPEL VIEW BOULEVARD, SUITE 2 CRANSTON, RI 02920 | AMALGAMATED LIFE INSURANCE COMPANY | $17K | — | $17K | 7.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Other services; Accounting (including auditing); Float revenue; Claims processing; Contract Administrator; Direct payment from the plan Service code 10 | — | $203K |
| INDEPENDENCE ADMINISTRATORS NONE | Contract Administrator; Direct payment from the plan Service code 13 | 1900 MARKET STREET, SUITE 624 PHILADELPHIA, PA 19103 | $121K |
| C & R CONSULTING, INC EIN 13-3935364 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $117K |
| AIMIE COLLAZO EIN 11-2750720 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $92K |
| YANETH LOPEZ EIN 11-2750720 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $83K |
| DENISE ORTIZ EIN 11-2750720 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $77K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $76K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $65K |
| JOESEPH RED EIN 11-2750720 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $53K |
| CHARTWELL INVESTMENT PARTNERS EIN 36-4776242 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $45K |
| FIRST ACTUARIAL CONSULTING INC EIN 42-1565552 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $39K |
| TRIVELLA & FORTE LLP EIN 13-4070172 NONE | Legal; Direct payment from the plan Service code 29 | — | $35K |
| KAUFF MCGUIRE & MARGOLIS LLP EIN 13-3573855 NONE | Legal; Investment management fees paid directly by plan Service code 29 | — | $32K |
| EXPRESS SCRIPTS, INC. EIN 22-3461740 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $19K |
| SEGALL BRYANT & HAMILL EIN 35-2679129 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $16K |
| CITIBANK EIN 90-0600119 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $16K |
| AMALGAMATED MEDICAL CARE MANAGEMENT EIN 13-3860528 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $14K |
| THE SEGAL GROUP, INC. EIN 06-0839113 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $13K |
| PERFECT PRINTING SOLUTIONS, INC. EIN 46-1378840 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $12K |
| INVESTMENT PERFORMANCE SERVICES LLC EIN 58-2432390 NONE | Investment management; Direct payment from the plan Service code 28 | — | $11K |
| VIRGINIA & AMBINDER LLP EIN 13-4166736 NONE | Legal; Direct payment from the plan Service code 29 | — | $9K |
| PAYLOCITY EIN 36-4227403 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $7K |
| SELE-DENT EIN 11-3310187 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $5K |
| LEVEL HEALTH NONE | Claims processing; Direct payment from the plan Service code 12 | 28 W 25TH ST, 11TH FLOOR NEW YORK, NY 10010 | $5K |
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 | 729 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 732 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 731 | $17K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 730 | $245K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 731 | — |
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.