| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALJAY INSURANCE BROKERAGE LTD3 | PO BOX 644 COMMACK, NY 11725 | SHELTERPOINT LIFE INSURANCE COMPANY | $2K | — | $2K | 4.27% |
| GREER FLOREA3 | 6268 JERICHO TURNPIKE COMMACK, NY 11725 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $781 | — | $781 | 3.13% |
| LAWRENCE SPEILLER3 | 22 PLEASANT AVENUE PLAINVIEW, NY 11803 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $781 | — | $781 | 3.13% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CONNIE HENRY EIN 13-5679400 PERF. SERV. FOR REL PLANS | Employee (plan) Service code 30 | — | $156K |
| SEGAL COMPANY EIN 13-1835864 PERF. SERV. FOR REL PLANS | Actuarial Service code 11 | — | $59K |
| WEAVER AND TIDWELL, LLP EIN 75-0786316 PERF. SERV. FOR REL PLANS | Accounting (including auditing) Service code 10 | — | $33K |
| LERNER LAW FIRM EIN 27-3629002 PERF. SERV. FOR REL PLANS | Legal Service code 29 | — | $32K |
| GORLICK, KRAVITZ, LISTHAUS PC EIN 13-3790829 PERF. SERV. FOR REL PLANS | Legal Service code 29 | — | $10K |
| MSI TECHNOLOGIES, LLC EIN 22-3827881 PERF. SERV. FOR REL PLANS | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $10K |
| MERRILL LYNCH EIN 13-5674085 PERF. SERV. FOR REL PLANS | Investment management fees paid indirectly by plan; Custodial (securities); Investment advisory (plan); Investment management fees paid directly by plan Service code 19 | — | $7K |
| SYNTONIC SYSTEMS, INC. EIN 13-2925049 PERF. SERV. FOR REL PLANS | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $6K |
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 | 143 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 146 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 409 | $3.8M |
| Life insurance | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | 161 | $25K |
| Short-term disability | SHELTERPOINT LIFE INSURANCE COMPANY | 161 | $58K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 409 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.