| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 100 MERIDIAN CENTRE BLVD SUITE 100 ROCHESTER, NY 14618 | EXCELLUS BLUECROSS BLUESHIELD | $152K | — | $152K | 29.96% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 100 MERIDIAN CENTRE BLVD SUITE 100 ROCHESTER, NY 14618 | HARTFORD LIFE AND ACCIDENT | $7K | — | $7K | 5.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MANNING & NAPIER, INC. EIN 16-0995763 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $162K |
| STEVE OSTRANDER EIN 16-0766976 FUND MANAGER | Employee (plan); Direct payment from the plan Service code 30 | — | $81K |
| PATRICIA MARCIANO EIN 16-0766976 BENEFIT SPECIALIST | Employee (plan); Direct payment from the plan Service code 30 | — | $48K |
| BANK OF AMERICA EIN 94-1687665 NONE | Custodial (securities); Investment management fees paid directly by plan Service code 19 | — | $41K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. | Other services; Direct payment from the plan Service code 49 | 3000 SOUTH LENOLA ROAD MAPLE SHADE, NJ 08052 | $39K |
| MELISSA DEL PRETE EIN 16-0766976 ANNUITY SPECIALIST | Employee (plan); Direct payment from the plan Service code 30 | — | $31K |
| BONADIO & CO., LLP EIN 16-1131146 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $30K |
| MICHAEL J. TOBIN, ATTY. EIN 16-1523639 NONE | Legal; Direct payment from the plan Service code 29 | — | $21K |
| U.A. LOCAL 13 BUILDING, INC. EIN 23-7358299 RELATED PARTY/RENT | Other services; Direct payment from the plan Service code 49 | — | $20K |
| DEBORAH EDIZEL EIN 16-0766976 ANNUITY SPECIALIST | Direct payment from the plan; Employee (plan) Service code 30 | — | $15K |
| WIDYA MCQUAID EIN 16-0766976 FUND ACCOUNTANT | Employee (plan); Direct payment from the plan Service code 30 | — | $10K |
| SYSTMS OF NY | Other services; Direct payment from the plan Service code 49 | 45 EAST AVENUE FLOOR 3 ROCHESTER, NY 14604 | $9K |
| PRONEXUS | Other services; Direct payment from the plan Service code 49 | 115 SULLYS TRAIL 11 PITTSFORD, NY 14534 | $8K |
| GALLAGHER BENEFIT SOLUTIONS INC. NONE | Direct payment from the plan; Consulting (general) Service code 16 | 100 MERIDIAN CENTRE BLVD., STE 100 ROCHESTER, NY 14618 | $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 | 779 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 131 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 910 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | EXCELLUS BLUECROSS BLUESHIELD | 131 | $570K |
| Dental | EXCELLUS BLUECROSS BLUESHIELD | 648 | $508K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 850 | $125K |
| Prescription drug | EXCELLUS BLUECROSS BLUESHIELD | 131 | $556K |
| Other | HARTFORD LIFE AND ACCIDENT | 850 | $125K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 850 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.