| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GREENLEAF BENEFIT ADVISORS LLC3 | PO BOX 1442 MOUNTAINSIDE, NJ 070920442 | METROPOLITAN LIFE INSURANCE COMPANY | — | $17K | $17K | 2.15% |
| GREENLEAF BENEFIT ADVISORS LLC3 | PO BOX 1442 MOUNTAINSIDE, NJ 070920442 | METROPOLITAN LIFE INSURANCE COMPANY | — | $12 | $12 | 0.00% |
| AMERICAN BENEFITS AND COMPENSATION3 | 101 PARK AVE FL 14 NEW YORK, NY 101782103 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $10K | $20K | 3.26% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON PUERTO RICO IN | — | TRIPLE S SALUD, INC | $27K | — | $27K | 5.00% |
| AMERICAN BENEFITS AND COMPENSATION3 | 101 PARK AVE FL 14 NEW YORK, NY 101782103 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $6K | $11K | 4.47% |
| AMERICAN BENEFITS AND COMPENSATION3 | 101 PARK AVE FL 14 NEW YORK, NY 101782103 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $3K | $7K | 3.22% |
| GREENLEAF BENEFIT ADVISORS LLC3 | PO BOX 1442 MOUNTAINSIDE, NJ 070920442 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $12 | $2K | 2.10% |
| AMERICAN BENEFITS AND COMPENSATION3 | 101 PARK AVE FL 14 NEW YORK, NY 101782103 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $5K | $5K | 5.00% |
| GREENLEAF BENEFIT ADVISORS LLC3 | PO BOX 1442 MOUNTAINSIDE, NJ 070920442 | METROPOLITAN LIFE INSURANCE COMPANY | — | $12 | $12 | 0.02% |
| AMERICAN BENEFITS AND COMPENSATION3 | 101 PARK AVENUE 14TH FLOOR NEW YORK, NY 10178 | ZURICH AMERICAN INSURANCE COMPANY | — | $1K | $1K | 15.00% |
| AMERICAN BENEFITS AND COMPENSATION3 | 101 PARK AVE FL 14 NEW YORK, NY 101782103 | METROPOLITAN LIFE INSURANCE COMPANY | $43 | $43 | $86 | 3.21% |
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 | 7,688 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 193 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,881 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | TRIPLE S SALUD, INC | 124 | $708K |
| Dental(3 contracts, 3 carriers) | TRIPLE S SALUD, INC | 124 | $721K |
| Vision(2 contracts, 2 carriers) | EYEMED VISION CARE/COMBINED INSURANCE COMPANY OF NY | 5,507 | $395K |
| Life insurance(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 7,660 | $932K |
| Short-term disability(4 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 4,699 | $1.1M |
| Long-term disability(2 contracts, 2 carriers) | TRIPLE S SALUD, INC | 612 | $794K |
| Prescription drug(2 contracts, 2 carriers) | TRIPLE S SALUD, INC | 124 | $609K |
| Other(5 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 4,699 | $885K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,660 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.