| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DEDECKER-SAXE ASSOCIATES INC3 | 285 DELAWARE AVE BUFFALO, NY 14202 | FIRST UNUM LIFE INSURANCE COMPANY | $318K | $111K | $429K | 5.39% |
| DEDECKER-SAXE ASSOCIATES INC3 | 285 DELAWARE AVE BUFFALO, NY 14202 | FIRST UNUM LIFE INSURANCE COMPANY | $46K | $74K | $120K | 2.59% |
| HUDSON SERVICING SOLUTIONS, LLC3 | 6 HARRISON STREET 5TH FL NEW YORK, NY 10013 | GERBER LIFE INSURANCE COMPANY | $8K | — | $8K | 15.46% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Claims processing Service code 12 | 151 FARMINGTON AVE HARTFORD, CT 06156 | $5.2M |
| INDEPENDENT HEALTH EIN 16-1483784 CONTRACT ADMINISTRATOR | Claims processing Service code 12 | 511 FARBER LAKES DRIVE BUFFALO, NY 14221 | $2.3M |
| CVS CAREMARK EIN 05-0340626 CONTRACT ADMINISTRATOR | Claims processing Service code 12 | 1 CVS DRIVE WOONSOCKET, RI 02895 | $599K |
| UNUM LIFE INSURANCE CO. OF AMERICA EIN 01-0278678 CONTRACT ADMINISTRATOR | Claims processing Service code 12 | 1 FOUNTAIN SQUARE CHATTANOOGA, TN 37402 | $478K |
| DELTA DENTAL EIN 11-1980218 CONTRACT ADMINISTRATOR | Claims processing Service code 12 | 575 MADISON AVENUE NEW YORK, NY 10222 | $433K |
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 | 17,209 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 17,209 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 11,089 | $0 |
| Life insurance(2 contracts, 2 carriers) | FIRST UNUM LIFE INSURANCE COMPANY | 22,158 | $8.0M |
| Long-term disability | FIRST UNUM LIFE INSURANCE COMPANY | 16,545 | $4.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 22,158 | — |
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.