| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.8 Filed as: GALLAGHER BENEFIT SERVICES INC | 85 CHESTNUT RIDGE ROAD SUITE 214 MONTVALE, NJ 07645 | HCC LIFE INSURANCE COMPANY | $54K | $10K | $64K | 11.80% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 85 CHESTNUT RIDGE ROAD SUITE 214 MONTVALE, NJ 07645 | SUN LIFE AND HEALTH INSURANCE COMPANY | $10K | $1K | $11K | 17.05% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAGNACARE ADMINISTRATIVE SERVICES EIN 11-3410766 NONE | Direct payment from the plan; Other services; Claims processing; Contract Administrator Service code 12 | — | $181K |
| GLORIA DIAZ EIN 13-5624028 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| NIRMALLA LALL EIN 13-5624028 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $71K |
| JOSEPH RAMAGLIA EIN 13-5624028 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| MARSHALL & MOSS LLP EIN 11-3360166 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $66K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $50K |
| BARNES, IACCARINO & SHEPERD LLP EIN 26-3858697 NONE | Legal; Direct payment from the plan Service code 29 | — | $48K |
| EMPIRX HEALTH NONE | Claims processing; Direct payment from the plan Service code 12 | 155 CHESNUT RIDGE RD MONTVALE, NJ 07645 | $36K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $33K |
| GALLAGHER BENEFIT SERVICES, INC. EIN 36-4291971 NONE | Consulting (general); Insurance agents and brokers Service code 16 | — | $22K |
| PITTA & GIBLIN LLP EIN 26-3852082 NONE | Legal; Direct payment from the plan Service code 29 | — | $21K |
| D.D. SERVICES , INC. EIN 11-2705347 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $13K |
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 | 431 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 431 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SUN LIFE AND HEALTH INSURANCE COMPANY | 462 | $66K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 456 | $543K |
| Other | SUN LIFE AND HEALTH INSURANCE COMPANY | 462 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 462 | — |
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.