| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN BENEFITS & COMP SYSTEMS3 Filed as: AMERICAN BENEFITS AND COMP SYS INC. | 99 PARK AVENUE 25TH FLOOR NEW YORK, NY 100161601 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $256K | $256K | 1.48% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES LLC EIN 47-0854646 NONE | Direct payment from the plan; Other services; Claims processing Service code 12 | — | $1.1M |
| CONNECTICUT GENERAL LIFE INS. CO. EIN 06-0303370 NONE | Named fiduciary; Direct payment from the plan; Non-monetary compensation; Contract Administrator; Participant communication; Other services; Float revenue; Claims processing Service code 12 | — | $64K |
| CAREMARK EIN 95-3382344 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $59K |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $28K |
| ADP, INC. EIN 13-3036745 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $7K |
| CONNECTICUT GENERAL LIFE INS. | Claims processing; Direct payment from the plan; Contract Administrator; Float revenue; Other services; Named fiduciary; Participant communication; Non-monetary compensation Service code 12 | — | $0 |
| JPMORGAN CHASE BANK NA EIN 13-4994650 PLAN TRUSTEE | Float revenue; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $0 |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 21,931 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 21,931 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRIPLE-S, INC. | 23 | $113K |
| Dental(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 97 | $48K |
| Vision | VISION SERVICE PLAN | 907 | $91K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 26,821 | $17.3M |
| Prescription drug | TRIPLE-S, INC. | 23 | $113K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 26,821 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.