| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | 7789 OSWEGO ROAD LIVERPOOL, NY 13090 | THE UNION LABOR LIFE INSURANCE COMPANY | $18K | — | $18K | 17.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD EIN 15-0329043 | Claims processing Service code 12 | — | $113K |
| SOLXSYS ADMINISTRATIVE SOLUTIONS EIN 83-2454243 THIRD PARTY ADMINISTRATOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 13 | 5600 NEW KING DRIVE TROY, MI 48098 | $72K |
| BLITMAN & KING EIN 16-1047304 ATTORNEY | Legal Service code 29 | — | $46K |
| MENGEL METZGER BARR & CO EIN 16-1092347 AUDITOR | Accounting (including auditing) Service code 10 | — | $22K |
| BOLTON PARTNERS NORTHEAST EIN 22-3502478 ACTUARY | Actuarial; Consulting (general) Service code 11 | — | $21K |
| LIFETIME BENEFIT SOLUTIONS | Contract Administrator Service code 13 | 115 CONTINUUM DRIVE LIVERPOOL, NY 13088 | $14K |
| SEGAL ADVISORS EIN 13-2646110 | Investment management Service code 28 | — | $12K |
| MCCARTHY & ASSOCIATES EIN 16-1120588 PAYROLL AUDITOR | Accounting (including auditing) Service code 10 | — | $11K |
| INSERO & CO. CPAS, LLP EIN 47-5324570 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $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 | 148 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 40 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 188 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 189 | $0 |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 162 | $108K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 179 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 189 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.