| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE AGENCY INC | 1 EMPIRE DR RENSSELAER, NY 12114 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $54K | — | $54K | 6.39% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE AGENCY INC | 1 EMPIRE DR RENSSELAER, NY 12114 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $49K | — | $49K | 6.47% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE AGENCY INC | 1 EMPIRE DR RENSSELAER, NY 12114 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $31K | — | $31K | 6.30% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD EIN 15-0329043 TPA | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 12 RHOADS DRIVE UTICA, NY 13502 | $1.5M |
| NOVA EIN 16-6443379 TPA | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | 6400 MAIN STREET, SUITE 210 WILLIAMSVILLE, NY 14221 | $67K |
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 | 4,172 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 367 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,544 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 4,172 | $760K |
| Short-term disability | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 823 | $487K |
| Long-term disability | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 1,672 | $849K |
| Stop-loss / reinsurancereinsurance | EXCELLUS BLUE CROSS BLUE SHIELD | 2,213 | $906K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,172 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.