| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIAM PENNINGTON3 Filed as: WILLIAM B PENNINGTON | 103 BONNIE HILL ROAD BALTIMORE, MD 21204 | FIRST UNUM LIFE INSURANCE COMPANY | $9K | — | $9K | 5.28% |
| MARSHALL & STERLING EMPLOYEE BENEFI3 Filed as: MARSHALL & STERLING INC | 2 HIGH STREET MONTICELLO, NY 12701 | FIRST UNUM LIFE INSURANCE COMPANY | $6K | — | $6K | 3.80% |
| FNA INSURANCE SERVICES INC3 | 100 SUNNYSIDE BLVD WOODBURY, NY 11797 | FIRST UNUM LIFE INSURANCE COMPANY | — | $3K | $3K | 1.90% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CORESOURCE, INC. EIN 35-1846036 NONE | Other services; Plan Administrator; Claims processing Service code 12 | — | $175K |
| CIGNA PPO EIN 59-1031071 NONE | Other services; Claims processing Service code 12 | — | $62K |
| PENNINGTON AND ASSOCIATES EIN 22-1407175 NONE | Consulting (general); Insurance agents and brokers Service code 16 | — | $30K |
| MULTIPLAN, INC. EIN 13-3068979 NONE | Plan Administrator; Claims processing; Other services Service code 12 | — | $21K |
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 | 235 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 110 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 345 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | FIRST UNUM LIFE INSURANCE COMPANY | 230 | $169K |
| Long-term disability | FIRST UNUM LIFE INSURANCE COMPANY | 230 | $169K |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE COMPANY | 348 | $145K |
| Other | FIRST UNUM LIFE INSURANCE COMPANY | 230 | $169K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 348 | — |
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.