| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BARBARA WEISSMAN3 | OMNI MANAGED HEALTH INC. 3021 AVENUE J BROOKLYN, NY 11210 | EMBLEMHEALTH | $35K | — | $35K | 3.85% |
| OMNI MANAGED HEALTH, INC.3 | 3021 AVENUE J BROOKLYN, NY 11210 | OXFORD HEALTH INSURANCE, INC. | $6K | — | $6K | 2.95% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL SVCS | 1133 WESTCHESTER AVENUE SUITE S229 WHITE PLAINS, NY 10604 | OXFORD HEALTH INSURANCE, INC. | — | $1K | $1K | 0.67% |
| OMNI MANAGED HEALTH, INC.3 | 3021 AVENUE J BROOKLYN, NY 11210 | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | $10K | — | $10K | 10.00% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE & FIN SVCS | DBA BENEFITMALL 1133 WESTCHESTER AVE, SUITE S 229 WHITE PLAINES, NY 10604 | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | — | $5K | $5K | 5.00% |
| OMNI MANAGED HEALTH, INC.3 Filed as: OMNI MANAGED HEALTH INC. | 3021 AVENUE J BROOKLYN, NY 11210 | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | $2K | — | $2K | 10.00% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE & FIN SVCS | DBA BENEFITMALL 1133 WESTCHESTER AVE, SUITE S 229 WHITE PLAINS, NY 10604 | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | — | $1K | $1K | 5.00% |
| OMNI MANAGED HEALTH, INC.3 Filed as: OMNI MANAGED HEALTH INC. | 3021 AVENUE J BROOKLYN, NY 11210 | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | $595 | — | $595 | 10.01% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE & FIN SVCS | DBA BENEFITMALL 1133 WESTCHESTER AVE, SUITE S 229 WHITE PLAINS, NY 10604 | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | — | $297 | $297 | 4.99% |
| OMNI MANAGED HEALTH, INC.3 Filed as: OMNI MANAGED HEALTH INC. | 3021 AVENUE J BROOKLYN, NY 11210 | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | $153 | — | $153 | 9.97% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE & FIN SVCS | DBA BENEFITMALL 1133 WESTCHESTER AVE, SUITE S 229 WHITE PLAINES, NY 10604 | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | — | $77 | $77 | 5.02% |
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 | 121 | 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) | 121 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | EMBLEMHEALTH | 152 | $1.1M |
| Dental(4 contracts) | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | 65 | $128K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 152 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.