| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ECONOMIC EVALUATION GROUP INC3 Filed as: ECONOMIC EVALUATION GROUP, INC. | 535 BROAD HOLLOW ROAD STE A-34 MELVILLE, NY 11747 | SYMETRA LIFE INSURANCE COMPANY | $568 | $0 | $568 | 4.44% |
| ACRISURE LLC3 Filed as: ACRISURE. LLC RCCI | 660 AMERICAN AVE. STE 103 KING OF PRUSSIA, PA 19406 | SYMETRA LIFE INSURANCE COMPANY | $542 | $0 | $542 | 4.23% |
| ROLLER CONSULTING CO., INC.3 Filed as: ROLLER CONSULTING COMPANY, INC. | 660 AMERICAN AVE. STE 103 KING OF PRUSSIA, PA 19406 | SYMETRA LIFE INSURANCE COMPANY | $534 | $0 | $534 | 4.17% |
| ROLLER CONSULTING CO., INC.3 Filed as: ROLLER CONSULTING CO INC | 161 WASHINGTON ST. STE 450 CONSHOHOCKEN, PA 194282022 | RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK | $953 | $0 | $953 | 17.71% |
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 | 126 | 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) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 126 | $18K |
| Long-term disability(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 126 | $18K |
| Other(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 126 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 126 | — |
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.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.