| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GA SOLUTIONS LLC3 | 50 BROADWAY SUITE 2 HAWTHORNE, NY 10532 | METROPOLITAN LIFE INSURANCE CO | $7K | $1K | $9K | 5.33% |
| WILLIAM FRENCH3 | 141 W GREEN STREET PASADENA, CA 91105 | METROPOLITAN LIFE INSURANCE CO | $5K | $0 | $5K | 3.17% |
| AUSTIN & CO INC3 Filed as: AUSTIN AND CO INC. | 20 CORPORATE WOODS BLVD ALBANY, NY 12211 | STANDARD LIFE INSURANCE CO OF NY | $3K | $0 | $3K | 6.09% |
| AUSTIN & CO INC3 Filed as: AUSTIN AND CO INC. | 20 CORPORATE WOODS BLVD ALBANY, NY 12211 | STANDARD LIFE INSURANCE CO OF NY | $1K | $0 | $1K | 9.91% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 CONTRACT ADMIN | Claims processing Service code 12 | — | $9K |
| DISCOVERY BENEFITS INC EIN 90-0058554 CONTRACT ADMIN | Claims processing Service code 12 | — | $856 |
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 | 141 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE CO | 439 | $165K |
| Life insurance | STANDARD LIFE INSURANCE CO OF NY | 145 | $13K |
| Long-term disability | STANDARD LIFE INSURANCE CO OF NY | 120 | $48K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 439 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.