| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| OMNI MANAGED HEALTH, INC.3 Filed as: OMNI MANAGED HEALTH | 3877 FLATLANDS AVENUE 2ND FLOOR BROOKLYN, NY 11234 | HEALTHPLEX INSURANCE COMPANY | $16K | — | $16K | 11.79% |
| OMNI MANAGED HEALTH, INC.3 | 3877 FLATLANDS AVE BROOKLYN, NY 11234 | HEALTHPLEX INC | $3K | — | $3K | 5.36% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LEADING EDGE ADMINISTRATION EIN 27-2589905 NONE | Plan Administrator Service code 14 | 14 WALL STREET STE 5B NEW YORK, NY 10005 | $788K |
| GUTMAN INSTURANCE AGENCY NONE | Plan Administrator Service code 14 | 134 SOUTH 9TH STREET 4A BROOKLYN, NY 11211 | $342K |
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 | 1,286 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,286 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SWISS RE CORPORATE SOLUTION AMERICA INS. CORP | 1,286 | $1.2M |
| Dental | HEALTHPLEX INSURANCE COMPANY | 1,040 | $134K |
| Vision | HEALTHPLEX INC | 1,230 | $59K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,286 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.