| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCIROCCO FINANCIAL GROUP3 Filed as: SCIROCCO FINANCIAL GROUP INC. | 777 TERRACE AVENUE SUITE 309 HASBROUCK HEIGHTS, NJ 07640 | HARTFORD LIFE INSURANCE CO. | $4K | — | $4K | 0.27% |
| MVP BENEFIT GROUP INCORPORATED3 | 625 STATE STREET SCHENECTADY, NY 12305 | HCC LIFE INSURANCE COMPANY | $4K | — | $4K | 12.37% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MVP EIN 14-1640868 CLAIMS ADMINISTRATOR | Claims processing Service code 12 | — | $395K |
| LCG ASSOCIATES, INC. EIN 75-1680350 THIRD-PARTY PROVIDER | Consulting (pension) Service code 17 | — | $33K |
| MERCER EIN 13-2834414 ACTUARY | Actuarial Service code 11 | — | $20K |
| CARON & BLETZER, PLLC EIN 04-3499945 AUDITOR | Accounting (including auditing) Service code 10 | — | $13K |
| THOMPSON HINE ATTORNEY | Legal Service code 29 | 312 WALNUT ST. STE 1400 CINCINNATI, OH 45202 | $4K |
| JPMORGAN CHASE BANK, NA EIN 13-4994650 TRUSTEE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $500 |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 750 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 173 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 923 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE INSURANCE CO. | 720 | $1.4M |
| Long-term disability | HARTFORD LIFE INSURANCE CO. | 720 | $1.4M |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 155 | $33K |
| Other | HARTFORD LIFE INSURANCE CO. | 720 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 720 | — |
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 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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.