| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE, SUITE 200 CAMDEN, NJ 08103 | OXFORD HEALTH INSURANCE, INC. | $50K | $0 | $50K | 1.92% |
| YORK INTERNATIONAL AGENCY LLC3 Filed as: YORK INTERNATIONAL AGENCY, LLC | 500 MAMARONECK AVENUE SUITE 220 HARRISON, NY 10528 | OXFORD HEALTH INSURANCE, INC. | $25K | $0 | $25K | 0.93% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL SVCS | 1133 WESTCHESTER AVENUE SUITE S-229 WHITE PLAINS, NY 10604 | OXFORD HEALTH INSURANCE, INC. | $0 | $6K | $6K | 0.24% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE, SUITE 200 CAMDEN, NJ 08103 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $1K | $7K | 6.90% |
| RAMPART BENEFIT PLANNING INC3 Filed as: RAMPART BENEFIT PLANNING, INC. | 1983 MARCUS AVENUE, SUITE C130 NEW HYDE PARK, NY 11042 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $0 | $5K | 4.42% |
| PROFESSIONAL LAW INS ADVISORS LLC3 | PO BOX 59816 POTAMAC, MD 20859 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $2K | $8K | 7.36% |
| RAMPART BENEFIT PLANNING INC3 Filed as: RAMPART BROKERAGE CORP | 1983 MARCUS AVENUE, SUITE C130 NEW HYDE PARK, NY 11042 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $0 | $5K | 4.66% |
| LAWMED INSURANCE GROUP, INC.3 Filed as: LAWMED INSURANCE GROUP INC. | 200 CONGRESS AVENUE, UNIT 20F AUSTIN, TX 78701 | METROPOLITAN LIFE INSURANCE COMPANY | $991 | $0 | $991 | 0.95% |
| WILLIAM T LAWRENCE3 | 2917 WEST 9755 SOUTH SOUTH JORDAN, UT 84095 | METROPOLITAN LIFE INSURANCE COMPANY | $131 | $0 | $131 | 0.13% |
| EVAN SCOTT PORTNOY3 Filed as: EVAN S. PORTNOY | 1983 MARCUS AVENUE, SUITE C130 NEW HYDE PARK, NY 11042 | METROPOLITAN LIFE INSURANCE COMPANY | $72 | $0 | $72 | 0.07% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE, SUITE 200 CAMDEN, NJ 08103 | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | $5K | $597 | $6K | 11.12% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE, SUITE 200 CAMDEN, NJ 08103 | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | $2K | $0 | $2K | 5.00% |
| YORK INTERNATIONAL AGENCY LLC3 Filed as: YORK INTERNATIONAL AGENCY, LLC | 500 MAMARONECK AVENUE SUITE 220 HARRISON, NY 10528 | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | $2K | $0 | $2K | 5.00% |
| RAMPART BENEFIT PLANNING INC3 Filed as: RAMPART BROKERAGE CORP | 1983 MARCUS AVENUE, SUITE C130 LAKE SUCCESS, NY 11042 | FEDERAL INSURANCE COMPANY | $1K | $0 | $1K | 15.00% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE, SUITE 200 CAMDEN, NJ 08103 | UDC DENTAL OF CALIFORNIA, INC. | $256 | $29 | $285 | 11.11% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE, SUITE 200 CAMDEN, NJ 08103 | UNION SECURITY DENTALCARE OF NEW JERSEY, INC. | $57 | $0 | $57 | 5.71% |
| YORK INTERNATIONAL AGENCY LLC3 Filed as: YORK INTERNATIONAL AGENCY, LLC | 500 MAMARONECK AVENUE SUITE 220 HARRISON, NY 10528 | UNION SECURITY DENTALCARE OF NEW JERSEY, INC. | $43 | $0 | $43 | 4.30% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE, SUITE 200 CAMDEN, NJ 08103 | UNION SECURITY DENTALCARE OF NEW JERSEY, INC. | $96 | $11 | $107 | 11.09% |
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 | 127 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | OXFORD HEALTH INSURANCE, INC. | 434 | $2.6M |
| Dental(6 contracts, 3 carriers) | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | 51 | $99K |
| Vision(2 contracts) | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | 51 | $94K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 99 | $105K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 56 | $104K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 99 | $105K |
| Prescription drug | OXFORD HEALTH INSURANCE, INC. | 434 | $2.6M |
| Other(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 127 | $218K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 434 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.