| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| OMNI MANAGED HEALTH, INC.3 | 3201 AVE J BROOKLYN, NY 11210 | EMBLEM HEALTH | $93K | — | $93K | 3.85% |
| OMNI MANAGED HEALTH, INC.3 | 3201 AVENUE J BROOKLYN, NY 11210 | EMBLEM HEALTH | $48K | — | $48K | 3.85% |
| OMNI MANAGED HEALTH, INC.3 | 3201 AVE J BROOKLYN, NY 11210 | EMPIRE HEALTHCHOICE HMO, INC. | $6K | — | $6K | 1.73% |
| CONFERENCE ASSOCIATES INC3 | 180 E MAIN STREET PATCHOGUE, NY 11772 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $6K | — | $6K | 4.19% |
| ROBERT FEINER3 | 99 WEST HAWTHORNE AVENUE SUITE 500 VALLEY STREAM, NY 11580 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $3K | — | $3K | 2.17% |
| JOSEPH R. BOSNACK3 | 14 ADAMS WAY SAYVILLE, NY 11782 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $1K | — | $1K | 0.72% |
| ROBERT FEINER3 | 99 WEST HAWTHORNE AVENUE SUITE 500 VALLEY STREAM, NY 11580 | AETNA LIFE INSURANCE CO. | $3K | — | $3K | 6.34% |
| OMNI MANAGED HEALTH, INC.3 | 3201 AVENUE J BROOKLYN, NY 11210 | EMBLEM HEALTH | $460 | — | $460 | 3.84% |
| OMNI MANAGED HEALTH, INC.3 | 3201 AVENUE J BROOKLYN, NY 11210 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $20 | — | $20 | 1.75% |
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 | 724 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 724 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE CO. | 126 | $49K |
| Vision | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 43 | $1K |
| Life insurance | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 724 | $147K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 724 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.