| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS | 105 FIELDCREST AVE SUITE 104 EDISON, NJ 08837 | CIGNA HEALTH & LIFE INSURANCE COMPANY | — | $89K | $89K | 3.50% |
| DONALD C SAVOY INC3 Filed as: DONALD C SAVOY INC. | 25B HANOVER ROAD, SUITE 220 FLORHAM PARK, NJ 07932 | CIGNA HEALTH & LIFE INSURANCE COMPANY | — | $51K | $51K | 2.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 62939 VIRGINIA BEACH, VA 23466 | CIGNA HEALTH & LIFE INSURANCE COMPANY | — | $13K | $13K | 0.50% |
| AHF GROUP BENEFITS LTD3 | 3023 AVENUE J BROOKLYN, NY 112103837 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | — | $11K | 5.87% |
| ALEX HERSKOVICH3 | 1213 E 31ST ST BROOKLYN, NY 11210 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 5.43% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL SVCS | 12404 PARK CENTRAL DR SUITE 400S DALLAS, TX 752511800 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 5.43% |
| GA SOLUTIONS LLC3 | 311 CLOCK TOWER COMMONS DRIVE BREWSTER, NY 10509 | HARTFORD LIFE AND ACCIDENT | $9K | $8K | $18K | 10.54% |
| TOTALBEN LLC3 | 1374 E 28TH ST BROOKLYN, NY 11210 | SHELTERPOINT LIFE INSURANCE CO | $4K | — | $4K | 12.00% |
| TOTALBEN LLC3 | 1374 EAST 28TH ST BROOKLYN, NY 11210 | SHELTERPOINT LIFE INSURANCE CO | $28 | — | $28 | 12.07% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH & LIFE INSURANCE CO EIN 59-1031071 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $102K |
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 | 325 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 327 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH & LIFE INSURANCE COMPANY | 203 | $2.5M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 303 | $185K |
| Vision(2 contracts) | SHELTERPOINT LIFE INSURANCE CO | 207 | $35K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 324 | $169K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 324 | $169K |
| Prescription drug | CIGNA HEALTH & LIFE INSURANCE COMPANY | 203 | $2.5M |
| Other | HARTFORD LIFE AND ACCIDENT | 324 | $169K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 324 | — |
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.