| 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 | $26K | — | $26K | 5.27% |
| MSM GENERAL AGENCY INC3 | PO BOX 060470 STATEN ISLAND, NY 10306 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $11K | — | $11K | 5.24% |
| MICHAEL FERRONE3 | 34 SHIRA LANE MANALAPAN, NJ 07726 | JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A) | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT EIN 06-0838648 INSURANCE | Direct payment from the plan; Insurance services Service code 23 | — | $568K |
| ANTHEM BLUE CROSS & BLUE SHIELD EIN 23-7391136 NONE | Claims processing; Contract Administrator; Float revenue; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $507K |
| THE STANDARD LIFE INSURANCE COMPANY EIN 13-4119477 INSURANCE | Insurance services Service code 23 | — | $494K |
| NY HTC&HA OF NYC HEALTH CENTER INC. EIN 13-1595091 AFFILIATE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $464K |
| JOHN HANCOCK LIFE INSURANCE COMPANY EIN 01-0233346 INSURANCE | Direct payment from the plan; Insurance services Service code 23 | — | $43K |
| MSPC EIN 22-2951202 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $9K |
| PITTA LLP EIN 26-3852082 ATTORNEY | Legal; Direct payment from the plan Service code 29 | 120 BROADWAY, 28TH FLOOR NEW YORK, NY 10271 | $7K |
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 | 1,064 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,064 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,009 | $630K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 1,009 | $630K |
| Other(4 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 1,041 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,064 | — |
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."
No prospect flags tripped on this filing.