| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHRISTOPHER MURTHA3 | 79 TYLER AVENUE WEST SAYVILLE, NY 11796 | SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK | $4K | — | $4K | 3.42% |
| JEFF W. BERSTEIN3 | 2310 VANCE STREET BRONX, NY 10469 | SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK | $1K | — | $1K | 1.20% |
| CRUMP LIFE INSURANCE SERVICES3 Filed as: CRUMP LIFE INSURANCE SERVICES INC. | 4135 NORTH FRONT STREET HARRISBURG, PA 17110 | SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK | $1K | — | $1K | 0.87% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SUFFOLK COUNTY COURT EMPLOYEES ASSN EIN 23-0873462 AFFILIATED UNION | Other services Service code 49 | — | $52K |
| ADMINISTRATIVE SERVICES ONLY EIN 11-2995970 NONE | Claims processing Service code 12 | — | $41K |
| CARMEN STAHL EIN 11-2542035 EMPLOYEE | Employee (plan) Service code 30 | — | $33K |
| BERDON LLP EIN 13-0485070 NONE | Accounting (including auditing) Service code 10 | — | $29K |
| SEGAL COMPANY EIN 13-1835864 NONE | Consulting (general) Service code 16 | — | $24K |
| ARCHER BYINGTON GLENNON & LEVINE EIN 26-0873462 NONE | Legal Service code 29 | — | $12K |
| HILTON CAPITAL MANAGEMENT EIN 13-4193167 NONE | Investment management fees paid directly by plan; Investment management fees paid indirectly by plan; Investment management Service code 28 | — | $8K |
| SUMMIT ACTUARIAL SERVICES, LLC EIN 20-3838633 NONE | Actuarial Service code 11 | — | $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 | 835 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 603 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 1,438 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK | 834 | $118K |
| Other | SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK | 834 | $118K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 834 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.