| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 726 EXCHANGE STREET SUITE 618 BUFFALO, NY 14210 | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | $48K | — | $48K | 1.65% |
| USI INSURANCE SERVICES LLC3 | NEW ENGLAND-BUFFALO PO BOX 62937 VIRGINA BEACH, VA 23466 | PRUDENTIAL FINANCIAL | $5K | — | $5K | 10.00% |
| USI INSURANCE SERVICES LLC3 | NEW ENGLAND-BUFFALO PO BOX 62937 VIRGINIA BEACH, VA 23466 | PRUDENTIAL FINANCIAL | $4K | — | $4K | 10.00% |
| USI INSURANCE SERVICES LLC3 | NEW ENGLAND-BUFFALO PO BOX 62937 VIRGINIA BEACH, VA 23466 | PRUDENTIAL FINANCIAL | $5K | — | $5K | 15.00% |
| USI INSURANCE SERVICES LLC3 | 301 OHIO STREET SUITE 250 BUFFALO, NY 14204 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $2K | $5K | 19.89% |
| USI INSURANCE SERVICES LLC3 | 530 PRESTON AVE POBOX 1040 MERIDEN, CT 06450 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 7.21% |
| USI INSURANCE SERVICES LLC3 | 726 EXCHANGE STREET SUITE 618 BUFFALO, NY 14210 | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | $759 | — | $759 | 3.57% |
| USI INSURANCE SERVICES LLC3 | 301 OHIO STREET SUITE 250 BUFFALO, NY 14204 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1K | $1K | $2K | 12.49% |
| USI INSURANCE SERVICES LLC3 | 530 PRESTON AVENUE PO BOX 1040 MERIDEN, CT 06450 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $514 | — | $514 | 2.64% |
| USI INSURANCE SERVICES LLC3 | NEW ENGLAND-BUFFALO PO BOX 62937 VIRGINIA BEACH, VA 23466 | PRUDENTIAL FINANCIAL | $2K | — | $2K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BROKERAGE CONCEPTS INC. EIN 11-3667763 NONE | Claims processing Service code 12 | 801 LAKEVIEW DR SUITE 301 BLUE BELL, PA 19422 | $17K |
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 | 381 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 384 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | 279 | $3.0M |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 389 | $25K |
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 157 | $19K |
| Life insurance(2 contracts) | PRUDENTIAL FINANCIAL | 381 | $93K |
| Long-term disability(2 contracts) | PRUDENTIAL FINANCIAL | 379 | $50K |
| Prescription drug(2 contracts) | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | 279 | $3.0M |
| Other | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | 279 | $2.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 389 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.