| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MAGNACARE ADMINISTRATIVE SERVICES3 | 44 W. GILBERT ST. TINTON FALLS, NJ 07701 | GARDEN STATE LIFE INSURANCE COMPANY | $7K | — | $7K | 1.00% |
| BNZ GROUP INC.3 | 188 SUMMERFIELD STREET, 2ND FLOOR SCARSDALE, NY 10583 | BENISTAR GROUP RETIREE HEALTH SOLUTIONS | $12K | — | $12K | 3.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MATTHEW PARSON EIN 11-3124836 EMPLOYEE | Employee (plan) Service code 30 | — | $113K |
| ARCHER, BYINGTON, GLENNON & LEVINE EIN 26-0873462 NONE | Legal Service code 29 | — | $93K |
| DOLORES BLAKE EIN 11-3124836 EMPLOYEE | Employee (plan) Service code 30 | — | $93K |
| MICHELE BUSA EIN 11-3124836 EMPLOYEE | Employee (plan) Service code 30 | — | $45K |
| VERONICA FALES EIN 11-3124836 EMPLOYEE | Employee (plan) Service code 30 | — | $45K |
| EIFERT, FRENCH & CO, INC. EIN 13-0662070 NONE | Insurance services Service code 23 | — | $38K |
| GUARDIAN LIFE EIN 13-5123390 NONE | Claims processing Service code 12 | — | $35K |
| KEITH GORDON EIN 11-3124836 EMPLOYEE | Employee (plan) Service code 30 | — | $34K |
| SUMMIT ACTUARIAL SERVICES, LLC EIN 77-0645890 NONE | Actuarial Service code 11 | — | $33K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Claims processing Service code 12 | — | $25K |
| KMR SYSTEMS CORP EIN 13-3192128 NONE | Consulting (general) Service code 16 | — | $15K |
| BERDON LLP EIN 13-0485070 NONE | Accounting (including auditing) Service code 10 | — | $15K |
| ATALANTA SOSNOFF EIN 20-0461050 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $11K |
| RICHARD SCHAFFER NONE | Legal Service code 29 | 816 DEER PARK AVENUE NORTH BABYLON, NY 11703 | $6K |
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 | 643 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 144 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 7 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 796 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 966 | $168K |
| Prescription drug | BENISTAR GROUP RETIREE HEALTH SOLUTIONS | 197 | $391K |
| Stop-loss / reinsurancereinsurance | GARDEN STATE LIFE INSURANCE COMPANY | 605 | $677K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 966 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.