| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS,LLC | 70 LINDEN OAKS SUITE 210 ROCHESTER, NY 14625 | EXCELLUS BLUECROSS BLUESHIELD | $76K | — | $76K | 2.56% |
| ACRISURE LLC3 Filed as: HAYLOR FREYER & COON INC | 231 SALINA MEADOWS PKWY SUITE 231 SYRACUSE, NY 13212 | EXCELLUS BLUECROSS BLUESHIELD | $11K | — | $11K | 0.37% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS,LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $1K | $11K | 4.09% |
| ACRISURE LLC3 Filed as: HAYLOR FREYER & COON INC | 231 SALINA MEADOWS PKWY SUITE 200 SYRACUSE, NY 13212 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 0.54% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS,LLC | 70 LINDEN OAKS DRIVE SUITE 210 ROCHESTER, NY 14625 | EXCELLUS BLUECROSS BLUESHIELD | $8K | — | $8K | 3.30% |
| ACRISURE LLC3 Filed as: HAYLOR FREYER & COON INC | 231 SALINA MEADOWS PKWY SYRACUSE, NY 13201 | EXCELLUS BLUECROSS BLUESHIELD | $2K | — | $2K | 0.82% |
| MERCER HEALTH AND BENEFITS, LLC Filed as: MERCER HEALTH & BENEFITS,LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $705 | $3K | 9.26% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS,LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK | $2K | — | $2K | 6.99% |
| GREGORY L ULATOWSKI3 Filed as: GREGORY ULATOWSKI | 305 PLYMOUTH DRIVE SYRACUSE, NY 13206 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $27 | $1K | 4.69% |
| JEFFREY GREENBLOTT3 | 609 EAST MAIN STREET ENDICOTT, NY 13770 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $8 | $1K | 4.65% |
| HEATHER MARIE SODON3 | 17485 STATE RTE 167 MONTROSE, PA 18801 | THE PAUL REVERE LIFE INSURANCE COMPANY | $52 | — | $52 | 0.21% |
| ANTHONY R MANGIONE3 | 1380 DUNCAN LOOP S DUNEDIN, FL 34698 | THE PAUL REVERE LIFE INSURANCE COMPANY | $9 | $1 | $10 | 0.04% |
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 | 314 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 62 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 376 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EXCELLUS BLUECROSS BLUESHIELD | 247 | $3.0M |
| Dental | EXCELLUS BLUECROSS BLUESHIELD | 256 | $247K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK | 338 | $26K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 474 | $268K |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 318 | $59K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 474 | $268K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 474 | $268K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 474 | — |
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."
No prospect flags tripped on this filing.