| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PREFERRED SERVICES GROUP3 | 77 SPRUCE STREET SUITE 203 CEDARHURST, NY 11516 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $44K | $0 | $44K | 8.65% |
| PREFERRED SERVICES GROUP3 | 77 SPRUCE STREET, SUITE 203 CEDARHURST, NY 11516 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $22 | $0 | $22 | 14.77% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TRUSTMARK HEALTH BENEFITS INC EIN 35-1846036 NONE | Other services; Claims processing; Plan Administrator Service code 12 | — | $792K |
| INNOVA RISK MANAGEMENT EIN 20-4068692 NONE | Insurance agents and brokers; Consulting (general) Service code 16 | — | $259K |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Other services; Claims processing Service code 12 | — | $53K |
| VISION SERVICE PLAN EIN 06-1227840 NONE | Claims processing Service code 12 | — | $17K |
| ACS A ZEROX COMPANY EIN 36-4129784 NONE | Claims processing; Other services Service code 12 | — | $7K |
| GUARDIAN DENTAL EIN 13-5123390 NONE | Other services; Claims processing Service code 12 | — | $7K |
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 | 997 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 997 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 435 | $513K |
| Short-term disability | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 435 | $513K |
| Long-term disability | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 435 | $513K |
| Other(2 contracts) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 435 | $513K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 435 | — |
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.