| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN CORPORATE BENEFITS INC3 Filed as: AMERICAN CORPORATE BENEFITS | 62 WILLIAM ST FL 4 NEW YORK, NY 10005 | DELTA DENTAL OF NEW YORK | $8K | — | $8K | 4.12% |
| AMERICAN CORPORATE BENEFITS INC3 | 62 WILLIAMS ST FL 4 NEW YORK, NY 10005 | MUTUAL OF OMAHA INSURANCE COMPANY | $23K | $5K | $28K | 38.73% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | PARK 80 WEST,PLAZA TWO, 250 PEHLE AVENUE, SUITE 400, SADDLE BROOK, NJ 07663 | MUTUAL OF OMAHA INSURANCE COMPANY | $5K | — | $5K | 7.24% |
| AMERICAN CORPORATE BENEFITS INC3 | 62 WILLIAM ST FL 4 NEW YORK, NY 10005 | COMPANION LIFE INSURANCE COMPANY | $26K | $4K | $30K | 52.74% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | PARK 80 WEST,PLAZA TWO, 250 PEHLE AVENUE, SUITE 400, SADDLE BROOK, NJ 07663 | COMPANION LIFE INSURANCE COMPANY | $6K | — | $6K | 10.17% |
| SEE ATTACHED3 | — | AFLAC | $3K | — | $3K | 12.02% |
| AMERICAN CORPORATE BENEFITS INC3 | 62 WILLIAM ST FL 4 NEW YORK, NY 10005 | PRINCIPAL LIFE INSURANCE COMPANY | $701 | $228 | $929 | 6.80% |
| GA SOLUTIONS LLC3 | 50 BROADWAY STE 2 HAWTHORNE, NY 10532 | PRINCIPAL LIFE INSURANCE COMPANY | $180 | $115 | $295 | 2.16% |
| CENTERSTONE INSURANCE AND FINANCIAL3 | SERVICES 12404 PARK CENTRAL DR STE 4005 DALLAS, TX 75251 | PRINCIPAL LIFE INSURANCE COMPANY | $195 | — | $195 | 1.43% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | PARK 80 WEST,PLAZA TWO, 250 PEHLE AVENUE, SUITE 400, SADDLE BROOK, NJ 07663 | PRINCIPAL LIFE INSURANCE COMPANY | $91 | $46 | $137 | 1.00% |
| BEACON WORKSITE LLC3 | 125 WOLF RD ALBANY, NY 12205 | ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK | $190 | — | $190 | 2.68% |
| EMERSON REID LLC3 Filed as: EMERSON REID & CO | 1305 WALT WHITMAN ROAD SUITE 310 MELVILLE, NY 11747 | ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK | $63 | — | $63 | 0.89% |
| VELTO WILLIAM3 | 4 SPENCER COURT ORANGEBURG, NY 10962 | ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK | $24 | — | $24 | 0.34% |
| AMERICAN CORPORATION BENEFITS INC3 | 62 WILLIAM STREET 4TH FL NEW YORK, NY 10005 | ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK | $15 | — | $15 | 0.21% |
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 | 194 | 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) | 194 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF NEW YORK | 239 | $192K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 195 | $14K |
| Life insurance(2 contracts, 2 carriers) | MUTUAL OF OMAHA INSURANCE COMPANY | 194 | $129K |
| Short-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 194 | $73K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 194 | $73K |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE CO. | 465 | $1.3M |
| Other(3 contracts, 3 carriers) | MUTUAL OF OMAHA INSURANCE COMPANY | 194 | $108K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 465 | — |
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.