| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ISMED INS AGENCY | 500 MAMARONECK AVE SUITE 408 HARRISON, NY 10528 | GUARDIAN | — | $0 | $0 | 0.00% |
| INSMED INS AGENCY INC3 | 500 MAMARONECK AVE SUITE 408 HARRISON, NY 10528 | GUARDIAN | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE, INC EIN 23-7391136 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services; Claims processing; Direct payment from the plan Service code 12 | — | $2.1M |
| STACEY BRAUN ASSOCIATES, INC EIN 13-2884932 NONE | Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 51 | — | $231K |
| STEPHEN M PERLITSH EIN 13-3805593 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $99K |
| HEALTH PLAN SYSTEMS, INC. EIN 01-0589640 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $73K |
| COHEN, WEISS AND SIMON, LLP. EIN 25-1919594 NONE | Direct payment from the plan Service code 50 | — | $64K |
| THE SEGAL COMPANY EIN 13-1835864 | Actuarial; Direct payment from the plan Service code 11 | — | $64K |
| ROGOFF & COMPANY PC EIN 13-2688836 NONE | Direct payment from the plan Service code 50 | — | $32K |
| SEGAL SELECT INSURANCE SERVICES, IN EIN 46-0619194 | Direct payment from the plan; Insurance brokerage commissions and fees Service code 50 | — | $31K |
| 617 MEDIA GROUP.COM LLC NONE | Consulting (general); Direct payment from the plan Service code 16 | 282 MOODY STREET, SUITE 314 WALTHAM, MA 02453 | $24K |
| LEILA MALDONADO EIN 14-0608876 NONE | Legal; Direct payment from the plan Service code 29 | 477 MADISON AVE SIXTH FOLLOR NEW YORK, NY 10017 | $18K |
| BOHUNKA GOLDSTEIN EIN 20-0782535 NONE | Legal; Direct payment from the plan Service code 29 | — | $17K |
| LOCKTIGHT SOLUTIONS EIN 22-3825157 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $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 | 4,939 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 45 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,984 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN | 3,244 | $1.1M |
| Vision | DAVIS VISION | 9,995 | $337K |
| Life insurance | GUARDIAN | 3,473 | $1.1M |
| Long-term disability | GUARDIAN | 3,473 | $1.1M |
| Stop-loss / reinsurancereinsurance | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 5,524 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,995 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.