| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MSM GENERAL AGENCY INC3 | PO BOX 060470 STATEN ISLAND, NY 10306 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $27K | — | $27K | 5.08% |
| MICHAEL FERRONE3 | 34 SHIRA LANE MANALAPAN, NJ 07726 | JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A) | $18K | — | $18K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 CLAIMS PROCESSOR | Float revenue; Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | — | $322K |
| NY HTC&HA OF NYC HEALTH CENTER INC. EIN 13-1595091 AFFILIATE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $322K |
| HARTFORD LIFE AND ACCIDENT EIN 06-0838648 INSURANCE | Direct payment from the plan; Insurance services Service code 23 | — | $307K |
| THE STANDARD LIFE INSURANCE COMPANY EIN 13-4119477 INSURANCE | Insurance services Service code 23 | — | $262K |
| JOHN HANCOCK LIFE INSURANCE COMPANY EIN 01-0233346 INSURANCE | Insurance services; Direct payment from the plan Service code 23 | — | $54K |
| MSPC EIN 22-2951202 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $9K |
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 | 752 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 752 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 21,087 | $939K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 672 | $408K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 672 | $585K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 21,087 | — |
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.
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.