| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AUSTIN & CO INC3 Filed as: AUSTIN & CO, INC. | 20 CORPORATE WOODS BLVD ALBANY, NY 12211 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $82K | $4K | $86K | 4.25% |
| AUSTIN & CO INC3 Filed as: AUSTIN & CO., INC. | 20 CORPORATE WOODS BLVD ALBANY, NY 12211 | MUTUAL OF OMAHA INSURANCE COMPANY | $5K | — | $5K | 7.45% |
| NATIONAL BENEFIT CENTER3 | 6930 COCHRAN ROAD SOLON, OH 44139 | MUTUAL OF OMAHA INSURANCE COMPANY | — | $2K | $2K | 3.04% |
| AUSTIN & CO INC3 Filed as: AUSTIN & COMPANY, INC. | 20 CORPORATE WOODS BLVD ALBANY, NY 12211 | DELTA DENTAL OF NEW YORK | $2K | — | $2K | 5.44% |
| AUSTIN & CO INC3 Filed as: AUSTIN & COMPANY, INC. | 20 CORPORATE WOODS BLVD ALBANY, NY 12211 | DELTA DENTAL OF NEW YORK | $741 | — | $741 | 5.42% |
| AUSTIN & CO INC3 Filed as: AUSTIN & CO., INC. | 20 CORPORATE WOODS BLVD ALBANY, NY 12211 | COMPANION LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN ROAD SOLON, OH 44139 | COMPANION LIFE INSURANCE COMPANY | — | $407 | $407 | 3.07% |
| AUSTIN & CO INC3 Filed as: AUSTIN & CO, INC. | 20 CORPORATE WOODS BLVD ALBANY, NY 12211 | VISION SERVICE PLAN | $698 | — | $698 | 7.84% |
| AUSTIN & CO INC3 Filed as: AUSTIN & CO., INC. | 20 CORPORATE WOODS BLVD ALBANY, NY 12211 | COMPANION LIFE INSURANCE COMPANY | $700 | — | $700 | 10.00% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN ROAD SOLON, OH 44139 | COMPANION LIFE INSURANCE COMPANY | — | $347 | $347 | 4.96% |
| AUSTIN & CO INC3 Filed as: AUSTIN & CO., INC. | 20 CORPORATE WOODS BLVD ALBANY, NY 12211 | MUTUAL OF OMAHA INSURANCE COMPANY | $163 | — | $163 | 9.99% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN ROAD SOLON, OH 44139 | MUTUAL OF OMAHA INSURANCE COMPANY | — | $50 | $50 | 3.06% |
| AUSTIN & CO INC3 Filed as: AUSTIN & CO., INC. | 20 CORPORATE WOODS BLVD ALBANY, NY 12211 | MUTUAL OF OMAHA INSURANCE COMPANY | $59 | — | $59 | 10.03% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN ROAD SOLON, OH 44139 | MUTUAL OF OMAHA INSURANCE COMPANY | — | $20 | $20 | 3.40% |
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 | 145 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 148 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 196 | $2.0M |
| Dental(2 contracts) | DELTA DENTAL OF NEW YORK | 88 | $47K |
| Vision | VISION SERVICE PLAN | 87 | $9K |
| Life insurance(2 contracts) | COMPANION LIFE INSURANCE COMPANY | 187 | $20K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 187 | $65K |
| Other(2 contracts) | MUTUAL OF OMAHA INSURANCE COMPANY | 187 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 196 | — |
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.