| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MSM GENERAL AGENCY INC3 | PO BOX 60470 STATEN ISLAND, NY 10306 | ZURICH AMERICAN INSURANCE COMPANY | $2K | — | $2K | 10.50% |
| QUANTUM FINANCIAL STRATEGIES3 | 118 NORTH BEDFORD ROAD, SUITE 100 MT. KISCO, NY 10549 | AMALGAMATED LIFE INSURANCE COMPANY | $74 | — | $74 | 0.92% |
| ACRISURE LLC3 Filed as: ACRISURE | 100 OTTAWA AVENUE, SW GRAND RAPIDS, MI 49503 | AMALGAMATED LIFE INSURANCE COMPANY | $61 | — | $61 | 0.76% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 SERV FOR RELATED BEN PL | Claims processing; Contract Administrator Service code 12 | — | $767K |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Float revenue; Claims processing; Other services; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $426K |
| THE SEGAL COMPANY EIN 13-1835864 SERV FOR RELATED BEN PL | Consulting (general) Service code 16 | — | $80K |
| BUCHBINDER TUNICK & CO. LLP EIN 13-1578842 SERV FOR RELATED BENE PL | Accounting (including auditing) Service code 10 | — | $57K |
| MED REVIEW, INC. EIN 13-3240352 NONE | Claims processing Service code 12 | — | $54K |
| TARTER KRINSKY & DROGIN LLP EIN 13-4160916 SERV FOR RELATED BEN PL | Legal Service code 29 | — | $45K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 SERV FOR RELATED BEN PL | Custodial (securities) Service code 19 | — | $12K |
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 | 1,313 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,313 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,329 | $146K |
| Short-term disability | AMALGAMATED LIFE INSURANCE COMPANY | 27 | $8K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,395 | $1.7M |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,329 | $160K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,395 | — |
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.
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.