| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MVP BENEFIT GROUP INCORPORATED3 Filed as: MVP BENEFIT GROUP | 625 STATE STREET SCHENECTADY, NY 12305 | TOKIO MARINE HCC- STOP LOSS GROUP | $8K | — | $8K | 5.00% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | 2038 SARANAC AVENUE LAKE PLACID, NY 12946 | THE GUARDIAN LIFE INSURNACE COMPANY OF AMERICA | $5K | $7K | $12K | 10.21% |
| BURNHAM FINANCIAL SERVICES, LLC3 Filed as: BURNHAM FINANCIAL SERVICES | 2038 SARANAC AVENUE LAKE PLACID, NY 12946 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $13K | — | $13K | 11.90% |
| PLANSOURCE BENEFITS ADMINISTRATION3 Filed as: PLANSOURCE BENEFITS ADMIN INC | 701 XENIA AVE S #150 MINNEAPOLIS, MN 55416 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $0 | $5K | $5K | 5.00% |
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 | 668 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 671 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MVP HEALTH CARE | 497 | $188K |
| Dental | THE GUARDIAN LIFE INSURNACE COMPANY OF AMERICA | 571 | $115K |
| Vision | THE GUARDIAN LIFE INSURNACE COMPANY OF AMERICA | 571 | $115K |
| Life insurance | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 668 | $109K |
| Long-term disability | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 668 | $109K |
| Stop-loss / reinsurancereinsurance | TOKIO MARINE HCC- STOP LOSS GROUP | 467 | $153K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 668 | — |
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.