| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC3 Filed as: BENEFIT ADMINISTRATIVE SYSTEMS LLC | 17475 JOVANNA DR, STE 1B HOMEWOOD, IL 60430 | FIRST SYMETRA NATIONAL LIFE INS CO OF NY | $22K | — | $22K | 5.00% |
| ENROLLEASE3 Filed as: JAEGER & FLYNN ASSOCIATES INC | 30 CORPORATE DRIVE CLIFTON PARK, NY 12065 | BLUESHIELD OF NORTHEASTERN NY | $805 | — | $805 | 4.91% |
| ENROLLEASE3 Filed as: JAEGER & FLYNN ASSOCIATES INC | 30 CORPORATE DRIVE CLIFTON PARK, NY 12065 | BLUESHIELD OF NORTHEASTERN NY | $375 | — | $375 | 2.54% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC EIN 36-4197088 NONE | Contract Administrator; Claims processing Service code 12 | — | $80K |
| JAEGER & FLYNN ASSOCIATES EIN 14-1747264 NONE | Insurance agents and brokers Service code 22 | — | $64K |
| TEAL, BECKER & CHIARAMONTE CPAS EIN 14-1624930 NONE | Accounting (including auditing) Service code 10 | — | $45K |
| MORGAN STANLEY SMITH BARNEY LLC EIN 20-8764829 NONE | Other investment fees and expenses; Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $36K |
| JAMES M. SHEPPARD, CPA EIN 14-1753226 NONE | Accounting (including auditing) Service code 10 | — | $32K |
| BPAS ACTUARIAL AND PENSION SERVICE EIN 30-0192194 NONE | Actuarial Service code 11 | — | $17K |
| DELTA DENTAL OF NEW YORK, INC. EIN 11-1980218 NONE | Claims processing Service code 12 | — | $17K |
| INTERNATIONAL BENEFITS ADMIN. EIN 11-3293162 NONE | Contract Administrator; Claims processing Service code 12 | — | $15K |
| POZEFSKY, BRAMLEY & MURPHY EIN 14-1601487 NONE | Legal Service code 29 | — | $12K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Contract Administrator; Claims processing Service code 12 | — | $8K |
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 | 246 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 142 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 388 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 231 | $75K |
| Short-term disability | THE UNION LABOR LIFE INSURANCE COMPANY | 231 | $75K |
| Prescription drug(2 contracts) | BLUESHIELD OF NORTHEASTERN NY | 5 | $31K |
| Stop-loss / reinsurancereinsurance | FIRST SYMETRA NATIONAL LIFE INS CO OF NY | 280 | $440K |
| Other(3 contracts, 2 carriers) | THE UNION LABOR LIFE INSURANCE COMPANY | 231 | $106K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 280 | — |
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.