| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 160 FEDERAL STREET, 2ND FLOOR BOSTON, MA 02110 | AETNA LIFE INSURANCE COMPANY | $36K | $0 | $36K | 3.09% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 669 RIVER DRIVE CENTER SUITE 305 ELMWOOD PARK, NJ 07407 | AETNA LIFE INSURANCE COMPANY | $205 | $0 | $205 | 0.02% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | UNKNOWN TH EMPIRE STATE BUILDING NEW YORK, NY 10118 | AETNA LIFE INSURANCE COMPANY | $173 | $0 | $173 | 0.01% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 160 FEDERAL STREET, 2ND FLOOR BOSTON, MA 02110 | EMBLEMHEALTH | $12K | $2K | $14K | 4.45% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | UNKNOWN BOSTON, MA 02110 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $7K | $2K | $8K | 14.28% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | UNKNOWN BLUE BELL, PA 19422 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $0 | $2K | $2K | 2.65% |
| SALEM COMPANY LLC3 | UNKNOWN RICHMOND, OH 44143 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $0 | $1K | $1K | 1.97% |
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 | 99 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 99 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 80 | $1.5M |
| Dental | AETNA LIFE INSURANCE COMPANY | 80 | $1.2M |
| Vision | AETNA LIFE INSURANCE COMPANY | 80 | $1.2M |
| Life insurance | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | 99 | $59K |
| Short-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | 99 | $59K |
| Long-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | 99 | $59K |
| Prescription drug | EMBLEMHEALTH | 15 | $314K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 99 | — |
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."
No prospect flags tripped on this filing.