| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| QUANTUM FINANCIAL STRATEGIES3 | 100 S BEDFORD RD STE 340 MT KISCO, NY 10549 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $81K | $2K | $83K | 3.21% |
| QUANTUM FINANCIAL STRATEGIES3 | 118 N BEDFORD RD SUITE 100 MOUNT KISCO, NY 10549 | AETNA LIFE INSURANCE COMPANY | $17K | — | $17K | 4.03% |
| QUANTUM FINANCIAL STRATEGIES3 | 118 N BEDFORD RD SUITE 100 MOUNT KISCO, NY 10549 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 6.06% |
| QUANTUM FINANCIAL STRATEGIES3 | 118 N BEDFORD RD SUITE 100 MOUNT KISCO, NY 10549 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 6.07% |
| QUANTUM FINANCIAL STRATEGIES3 | 118 N BEDFORD RD SUITE 100 MOUNT KISCO, NY 10549 | AETNA LIFE INSURANCE COMPANY | $85 | — | $85 | 2.34% |
| QUANTUM FINANCIAL STRATEGIES3 | 118 N BEDFORD RD SUITE 100 MOUNT KISCO, NY 10549 | SHELTERPOINT LIFE INSURANCE COMPANY | $605 | — | $605 | 20.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA LIFE INSURANCE CO OF NEW YORK EIN 59-1031071 CLAIMS ADMINISTRATOR | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | 140 E 45TH STREET NEW YORK, NY 10017 | $191K |
| RAYMOND AQUILINO EIN 13-5616752 TRUSTEE | Direct payment from the plan; Employee (plan); Plan Administrator Service code 14 | 108-15 CROSS BAY BOULEVARD OZONE PARK, NY 11417 | $130K |
| D.D. SERVICES, INC EIN 11-2705347 DENTAL SERVICES ADMIN | Employee (plan); Direct payment from the plan; Plan Administrator; Claims processing Service code 12 | 1640 HEMPSTEAD TPKE EAST MEADOW, NY 11554 | $71K |
| SLEVIN & HART PC EIN 52-1708613 LEGAL SERVICES | Legal; Direct payment from the plan Service code 29 | 14 WALL STREET 20TH FLOOR NEW YORK, NY 10005 | $69K |
| NANCY MARTINEZ EIN 13-5616752 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 108-15 CROSS BAY BOULEVARD OZONE PARK, NY 11417 | $54K |
| HENRY J MCKAY EIN 13-5616752 EMPLOYEE | Direct payment from the plan Service code 50 | 108-15 CROSS BAY BOULEVARD OZONE PARK, NY 11417 | $46K |
| CYNOMYS INC EIN 82-2668930 ACTUARY | Direct payment from the plan; Actuarial Service code 11 | 16170 POPPY SEED CIR UNIT 902 DELRAY BEACH, FL 33484 | $45K |
| KMR SYSTEMS CORPORATION EIN 13-3192128 COMPUTER CONSULTANT | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 6800 JERICHO TURNPIKE SUITE 120W SYOSSET, NY 11791 | $42K |
| WAGNER & ZWERMAN LLP EIN 11-2836481 ACCOUNTANT | Accounting (including auditing); Direct payment from the plan Service code 10 | 201 OLD COUNTRY ROAD SUITE 202 MELVILLE, NY 11747 | $20K |
| TAMARA SMATH INC EIN 26-1565169 BOOKKEEPER | Accounting (including auditing); Direct payment from the plan Service code 10 | 425 N BROADWAY 367 JERICHO, NY 11753 | $13K |
| ALICARE, INC. EIN 13-3432221 ADMINISTRATOR | Direct payment from the plan; Claims processing Service code 12 | 333 WESTCHESTER AVE WHITE PLAINS, NY 106042910 | $11K |
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 | 465 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 465 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 1,209 | $113K |
| Life insurance(2 contracts, 2 carriers) | GERBER LIFE INSURANCE COMPANY | 155 | $198K |
| Other(2 contracts, 2 carriers) | CIGNA LIFE INSURANCE CO. OF NEW YORK | 451 | $2.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,209 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.