| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HJ KNIGHT INTERNATIONAL5 Filed as: KNIGHT INTERNATIONAL INSURANCE AGEN | 30 BRAINTREE HILL OFFICE PARK, SUIT BRAINTREE, MA 02184 | HCC LIFE INSURANCE COMPANY | — | $14K | $14K | 9.88% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CAPITAL DISTRICT PHYSICIAN'S HEALTH EIN 14-1641028 NONE | Claims processing Service code 12 | — | $142K |
| MICHAEL BRADY EIN 14-1437195 EMPLOYEE | Employee (plan); Plan Administrator Service code 14 | — | $64K |
| MILLIMAN USA EIN 91-0675641 NONE | Actuarial Service code 11 | — | $51K |
| NIKKI FRANCE EIN 14-1437195 EMPLOYEE | Employee (plan) Service code 30 | — | $40K |
| MORGAN STANLEY SMITH BARNEY EIN 26-4310632 NONE | Investment advisory (plan); Custodial (securities); Other services; Other fees; Securities brokerage; Other investment fees and expenses; Securities brokerage commissions and fees; Direct payment from the plan Service code 19 | — | $38K |
| IRIS SWEENEY EIN 14-1437195 EMPLOYEE | Employee (plan) Service code 30 | — | $38K |
| TEAL BECKER & CHIARAMONTE, CPAS PC EIN 14-1624930 NONE | Accounting (including auditing) Service code 10 | — | $38K |
| POZEFSKY, BRAMLEY, & MURPHY EIN 14-1601487 NONE | Legal Service code 29 | — | $22K |
| JOSEPH MCCARTHY EIN 16-1120588 NONE | Accounting (including auditing) Service code 10 | — | $17K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Claims processing Service code 12 | — | $14K |
| DELTA DENTAL EIN 11-1980218 NONE | Claims processing Service code 12 | — | $11K |
| BLITMAN & KING LLP EIN 16-1047304 NONE | Legal Service code 29 | — | $11K |
| KARPUS INVESTMENT MANAGEMENT EIN 16-1290558 NONE | Investment management Service code 28 | — | $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 | 285 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 285 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE CO. | 271 | $13K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 267 | $142K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 271 | — |
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.