| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP NEW ENGLAND LLC | — | UNION LABOR LIFE INSURANCE COMPANY | $2K | $0 | $2K | 2.74% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MVP SELECT CARE EIN 14-1704347 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $190K |
| STEPHEN O'SICK EIN 14-1461803 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $89K |
| BLITMAN & KING LLP EIN 16-1047304 NONE | Legal; Direct payment from the plan Service code 29 | — | $74K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $60K |
| MEGHAN LEFSYK EIN 14-1461803 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $58K |
| MARIE GRAY EIN 14-1461803 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $57K |
| STACY REDMOND EIN 14-1461803 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $56K |
| BOLTON PARTNERS NE, INC. EIN 52-1231144 NONE | Consulting (general); Actuarial; Direct payment from the plan Service code 11 | — | $47K |
| CAROLINE FARNAN EIN 14-1461803 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $40K |
| MORGAN STANLEY SMITH BARNEY LLC EIN 20-8764829 NONE | Investment management fees paid directly by plan; Custodial (securities); Other investment fees and expenses; Investment advisory (plan); Securities brokerage commissions and fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Other commissions; Recordkeeping fees; Securities brokerage Service code 15 | — | $39K |
| LISA WALLIN EIN 14-1461803 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $35K |
| DECUSOFT EIN 02-0643827 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $31K |
| TEAL BECKER & CHIARAMONTE CPAS PC EIN 14-1624930 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $16K |
| KEY BANK EIN 31-1974250 NONE | Direct payment from the plan; Other services Service code 49 | — | $11K |
| JOSEPH W MCCARTHY & ASSOCIATES EIN 16-1120588 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $5K |
| INTEGRA CONSULTING INC NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 6207 KEYSTONE WAY JAMESVILLE, NY 13078 | $5K |
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 | 637 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 56 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 693 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNION LABOR LIFE INSURANCE COMPANY | 691 | $66K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 495 | $440K |
| Other | UNION LABOR LIFE INSURANCE COMPANY | 691 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 691 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.