| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| H.J. KNIGHT INTERNATIONAL INSURANCE3 | 30 BRAINTREE HILL OFFICE PARK S203 BRAINTREE, MA 02184 | HCC LIFE INSURANCE COMPANY | $5K | $0 | $5K | 8.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MVP HEALTH CARE EIN 14-1704347 NONE | Contract Administrator; Claims processing Service code 12 | — | $109K |
| DICKINSON GROUP, LLC EIN 20-1241472 NONE | Claims processing Service code 12 | — | $69K |
| MILLIMAN, INC EIN 91-0675641 NONE | Consulting (pension) Service code 17 | — | $61K |
| TEAL, BECKER, & CHIARAMONTE CPAS PC EIN 14-1624930 NONE | Accounting (including auditing) Service code 10 | — | $40K |
| LOCAL 5, NY BRICKLAYERS & ALLIED EIN 13-3762345 UNION | Other services Service code 49 | — | $33K |
| MARTINI, MARIA EIN 14-6016608 EMPLOYEE | Employee (plan) Service code 30 | — | $31K |
| BARNES, IACCARINO & SHEPHERD, LLP EIN 26-3858697 NONE | Legal Service code 29 | — | $18K |
| PIMCO EIN 33-0239892 NONE | Investment management Service code 28 | — | $18K |
| MERRILL LYNCH, PIERCE, FENNER & SM EIN 13-5674085 NONE | Investment advisory (plan) Service code 27 | — | $8K |
| O'SULLIVAN ASSOCIATES EIN 20-8199367 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 | 272 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 188 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 460 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 212 | $59K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 212 | — |
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.