| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WHEATLEY AGENCY INC3 | 377 OAK STREET GARDEN CITY, NY 11530 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $89K | $0 | $89K | 9.03% |
| WHEATLEY AGENCY INC3 Filed as: WHEATLEY AGENECY INC | 377 OAK STREET GARDEN CITY, NY 11530 | HARTFORD LIFE AND ACCIDENT | $8K | — | $8K | 14.00% |
| WHEATLEY AGENCY INC3 | 377 OAK STREET GARDEN CITY, NY 11530 | HARTFORD LIFE AND ACCIDENT | $3K | — | $3K | 10.00% |
| WHEATLEY AGENCY INC3 | 377 OAK STREET GARDEN CITY, NY 11530 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 14.00% |
| WHEATLEY AGENCY INC3 | 377 OAK STREET GARDEN CITY, NY 11530 | HARTFORD LIFE AND ACCIDENT | $713 | — | $713 | 14.01% |
| WHEATLEY AGENCY INC3 | 377 OAK STREET GARDEN CITY, NY 11530 | HARTFORD LIFE AND ACCIDENT | $488 | — | $488 | 14.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE EIN 59-1031071 CLAIM ADMINISTRATOR | Named fiduciary; Participant communication; Contract Administrator; Claims processing; Float revenue; Non-monetary compensation; Other services; Direct payment from the plan Service code 12 | 900 COTTAGE GROVE RD BLOOMFIELD, CT 06002 | $7K |
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 | 11 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 241 | $980K |
| Life insurance(3 contracts) | HARTFORD LIFE AND ACCIDENT | 119 | $91K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 97 | $34K |
| Other | HARTFORD LIFE AND ACCIDENT | 119 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 241 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.