| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HMS AGENCY INC. Filed as: HMS AGENCY INC | 454 SAND CREEK ROAD ALBANY, NY 12205 | EMPIRE HEALTHCHOICE ASSURANCE INC | $4K | — | $4K | 4.81% |
| HMS AGENCY INC. Filed as: HMS AGENCY INC | 454 SAND CREEK ROAD ALBANY, NY 12205 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | $4K | — | $4K | 15.34% |
| HMS AGENCY INC. Filed as: HMS AGENCY INC | 454 SAND CREEK ROAD ALBANY, NY 12205 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 7.43% |
| JAMES R NELLIGAN & ASSOCIATES LLC Filed as: JAMES R NELLIGAN & ASSOCIATES | 2338 IMMOKALEE ROAD PMB 240 NAPLES, FL 34110 | PRINCIPAL LIFE INSURANCE COMPANY | $712 | — | $712 | 3.91% |
| HMS AGENCY INC. Filed as: HMS AGENCY INC | 454 SAND CREEK ROAD ALBANY, NY 12205 | HIGHMARK NORTHEASTERN NEW YORK | $51K | $101K | $152K | — |
No Schedule C service providers reported on this filing.
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 | 154 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK NORTHEASTERN NEW YORK | 154 | $0 |
| Dental | EMPIRE HEALTHCHOICE ASSURANCE INC | 177 | $82K |
| Vision | EMPIRE HEALTHCHOICE ASSURANCE INC | 177 | $82K |
| Life insurance | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | 159 | $28K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 96 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 177 | — |
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.