| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSHALL & STERLING EMPLOYEE BENEFI3 Filed as: MARSHALL & STERLING, INC. | 110 MAIN STREET POUGHKEEPSIE, NY 12601 | CIGNA HEALTH & LIFE INSURANCE COMPANY | $30K | — | $30K | 11.43% |
| PERFECT BENEFITS GROUP3 Filed as: PERFECT BENEFITS GROUP INC | 262 WEST 38TH STREET - SUITE 1601 NEW YORK, NY 10018 | CIGNA HEALTH & LIFE INSURANCE COMPANY | $24K | — | $24K | 9.20% |
| PERFECT BENEFITS GROUP3 | 262 W 38TH ST STE 1601 NEW YORK, NY 10018 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $748 | — | $748 | 6.00% |
| PERFECT BENEFITS GROUP3 Filed as: PERFECT BENEFITS GROUP INC. | 262 WEST 38TH STREET SUITE 12601 NEW YORK, NY 10018 | CIGNA LIFE INS. CO. OF NEW YORK | $150 | — | $150 | 5.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO. EIN 59-1031071 INSURANCE ADMINISTRATOR | Contract Administrator; Direct payment from the plan; Other services; Participant communication; Non-monetary compensation; Claims processing; Named fiduciary; Float revenue Service code 12 | 900 COTTAGE GROVE ROAD BLOOMFIELD, CT 06002 | $143K |
| MARSHALL & STERLING, INC. BROKER | Insurance brokerage commissions and fees Service code 53 | 110 MAIN STREET POUGHKEEPSIE, NY 12016 | $30K |
| PERFECT BENEFITS GROUP INC. BROKER | Insurance brokerage commissions and fees Service code 53 | 262 WEST 38TH STREET NEW YORK, NY 10018 | $24K |
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 | 188 | 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) | 188 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH & LIFE INSURANCE COMPANY | 185 | $263K |
| Dental | CIGNA HEALTH & LIFE INSURANCE COMPANY | 185 | $263K |
| Life insurance | CIGNA LIFE INSURANCE CO. OF NEW YORK | 188 | $12K |
| Other(2 contracts, 2 carriers) | CIGNA LIFE INSURANCE CO. OF NEW YORK | 188 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 188 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.