| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENV INSURANCE AGENCY LLC3 | 7789 OSWEGO ROAD LIVERPOOL, NY 13090 | THE UNION LABOR LIFE INSURANCE COMPANY | $24K | — | $24K | 17.49% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR,INC EIN 39-1995276 NONE | Insurance services; Claims processing Service code 12 | — | $127K |
| JUDY ENGLISH EIN 16-0836163 EMPLOYEE | Employee (plan) Service code 30 | — | $68K |
| JILL RAJLA EIN 16-0836163 EMPLOYEE | Employee (plan) Service code 30 | — | $54K |
| UBS FINANCIAL SERVICES, INC. EIN 13-2638166 NONE | Investment advisory (plan) Service code 27 | — | $43K |
| ARCARA ZUCARELLI LENDA & ASSOCIATES EIN 47-1793720 NONE | Accounting (including auditing) Service code 10 | — | $36K |
| LUKE BAECKER EIN 16-0836163 EMPLOYEE | Employee (plan) Service code 30 | — | $34K |
| BERNADINE MAGNEY EIN 16-0836163 EMPLOYEE | Employee (plan) Service code 30 | — | $26K |
| LIPSITZ GREEN SCIME CAMBRIA LLP EIN 16-0905097 NONE | Legal Service code 29 | — | $24K |
| ACTUARIAL CONSULTING SERVICES, INC. EIN 16-1186135 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $17K |
| TELPERION SOLUTIONS GROUP LLC EIN 16-1608210 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $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 | 309 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 323 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 33 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 665 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 309 | $138K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 309 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.