| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF TEXAS LLC | 500 N CENTRAL EXPY STE 550 PLANO, TX 75074 | UNITEDHEALTHCARE INSURANCE COMPANY | $65K | — | $65K | 4.00% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL SERVICE | 1133 WESTCHESTER AVE STE S-229 WEST HARRISON, NY 10604 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $19K | $19K | 1.15% |
| OLYMPIC AGENCY INC3 Filed as: OLYMPIC AGENCY INSURANCE | OPMB 370 1353 CARR 19 GUAYNABO, PR 00966 | MCS LIFE INSURANCE COMPANY | $9K | — | $9K | 4.95% |
| CGF INSURANCE LLC3 Filed as: CGF INSURANCE, LLC | CAPARRA OFFICE CENTER 200 GUAYNABO, PR 00968 | MCS LIFE INSURANCE COMPANY | — | $2K | $2K | 0.99% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL SERVICE | 1133 WESTCHESTER AVE STE S-229 WEST HARRISON, NY 10604 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | $3K | $6K | 8.87% |
| NETWORK ADMIN INSURANCE AGENCY INC3 Filed as: NETWORK ADMINISTRATORS INS. AGENCY | 4114 LEGATO RD SUITE 400 FAIRFAX, VA 22033 | UNITEDHEALTHCARE INSURANCE COMPANY | $4K | — | $4K | 5.76% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD #308 HAUPPAUGE, NY 11788 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $6K | $3K | $10K | 15.04% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD #308 HAUPPAUGE, NY 11788 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $1K | $625 | $2K | 17.17% |
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 | 160 | 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. |
| Total participants (= "Plan participants" tile) | 160 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 174 | $1.9M |
| Dental(2 contracts, 2 carriers) | MCS LIFE INSURANCE COMPANY | 174 | $244K |
| Life insurance(2 contracts, 2 carriers) | MCS LIFE INSURANCE COMPANY | 160 | $186K |
| Long-term disability | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 217 | $64K |
| Prescription drug | MCS LIFE INSURANCE COMPANY | 59 | $175K |
| Other | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 160 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 217 | — |
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.