| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MG BENEFITS CONSULTING GROUP LLC3 | 2A HARDSCRABBLE RD, STE 306 NORTH SALEM, NY 10560 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $3K | — | $3K | 6.60% |
| MG BENEFITS CONSULTING GROUP LLC3 | 2A HARDSCRABBLE RD, STE 306 NORTH SALEM, NY 10560 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $418 | — | $418 | 13.17% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $442K |
| HCC LIFE INSURANCE COMPANY EIN 35-1817054 NONE | Insurance services Service code 23 | 225 TOWNPARK DRIVE KENNESAW, GA 30144 | $416K |
| MILLIMAN USA EIN 91-0675641 NONE | Actuarial Service code 11 | 250 WASHINGTON AVE EXT ALBANY, NY 122035401 | $71K |
| THE STANDARD LIFE INSURANCE COMPANY EIN 13-4119477 NONE | Insurance services Service code 23 | 360 HAMILTON AVENUE 210 WHITE PLAINS, NY 10601 | $43K |
| KINGSTON WORX EIN 14-1349558 NONE | Other services Service code 49 | 25 BARBAROSA LANE KINGSTON, NY 12401 | $38K |
| RBT CPAS, LLP EIN 14-1604297 NONE | Accounting (including auditing) Service code 10 | 11 RACQUET ROAD NEWBURGH, NY 12550 | $32K |
| LOWER HUDSON VALLEY EAP NONE | Other services Service code 49 | 3505 HILL BLVD - SUITE A 914-245-6300 YORKTOWN HEIGHTS, NY 10598 | $22K |
| HJ KNIGHT INTERNATIONAL INSURANCE NONE | Insurance agents and brokers Service code 22 | 30 BRAINTREE HILL, 203 BRAINTREE, MA 02184 | $21K |
| MARQUETTE ASSOCIATES, INC. NONE | Consulting fees Service code 70 | 180 NORTH LASALLE STREET CHICAGO, IL 60601 | $20K |
| ROBERT M. CHEVERIE & ASSOCIATES, PC NONE | Legal Service code 29 | 333 EAST RIVER DR STE 101 EAST HARTFORD, CT 06108 | $18K |
| SPECTRUM PENSION AND COMPENSATION EIN 14-1764716 NONE | Consulting (general) Service code 16 | 11 RACQUET ROAD NEWBURGH, NY 12550 | $12K |
| EMERGENCY ONE NONE | Other services Service code 49 | 306 WINDSOR HWY NEW WINDSOR, NY 12553 | $9K |
| ULLICO RETIREMENT SOLUTIONS NONE | Investment management fees paid directly by plan Service code 51 | 14755 NORTH OUTER FORTY ST LOUIS, MO 63017 | $7K |
| IFEBP INTERNATIONAL FOUNDATION OF NONE | Other services Service code 49 | PO BOX 69 BROOKFIELD, WI 53008 | $6K |
| NGX INSURANCE NONE | Insurance agents and brokers Service code 22 | 159 GREEN STREET, STE 1 KINGSTON, NY 12401 | $6K |
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 | 557 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 115 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 83 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 755 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 550 | $38K |
| Short-term disability | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 13 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 550 | — |
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.