| 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 | $58K | — | $58K | 1.61% |
| USI INSURANCE SERVICES LLC3 | NEW ENGLAND-BUFFALO PO BOX 62937 VIRGINIA BEACH, VA 23466 | PRUDENTIAL FINANCIAL | $6K | — | $6K | 10.00% |
| USI INSURANCE SERVICES LLC3 | NEW ENGLAND-BUFFALO PO BOX 62937 VIRGINIA BEACH, VA 23466 | PRUDENTIAL FINANCIAL | $5K | — | $5K | 10.00% |
| USI INSURANCE SERVICES LLC3 | 726 EXCHANGE STREET SUITE 618 BUFFALO, NY 14210 | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | $833 | — | $833 | 2.00% |
| USI INSURANCE SERVICES LLC3 | NEW ENGLAND-BUFFALO PO BOX 62937 VIRGINIA BEACH, VA 23466 | PRUDENTIAL FINANCIAL | $6K | — | $6K | 15.00% |
| USI INSURANCE SERVICES LLC3 | 530 PRESTON AVE PO BOX 1040 MERIDEN, CT 06450 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $6K | $2K | $7K | 27.00% |
| USI INSURANCE SERVICES LLC3 | 530 PRESTON AVE PO BOX 1040 MERIDEN, CT 06450 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | $1K | $3K | 14.70% |
| 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 | $18K |
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 | 410 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 414 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | 291 | $3.6M |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 413 | $28K |
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 182 | $22K |
| Life insurance(2 contracts) | PRUDENTIAL FINANCIAL | 410 | $108K |
| Long-term disability(2 contracts) | PRUDENTIAL FINANCIAL | 410 | $56K |
| Prescription drug(2 contracts) | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | 291 | $3.6M |
| Other | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | 291 | $3.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 413 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.