| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LAWLEY BENEFITS GROUP LLC3 | 361 DELAWARE AVENUE BUFFALO, NY 14202 | METROPOLITAN LIFE INSURANCE COMPANY | $28K | -$4K | $25K | 4.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EXCELLUS BLUECROSS BLUESHIELD EIN 23-7391136 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $2.2M |
| HMC HEALTHWORKS, INC. EIN 95-4146179 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $402K |
| LOOMIS COMPANY EIN 23-2238132 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $257K |
| SLEVIN & HART, PC EIN 52-1708613 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $150K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $147K |
| UFCW DISTRICT UNION LOCAL ONE EIN 15-0559586 LABOR UNION | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $89K |
| SAMANTHA DERISO EIN 16-0915820 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $84K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 RECORDKEEPING AND INFO | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $73K |
| MICHAEL CIANCAGLINI EIN 16-0915820 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| VICTORIA BATTISTA EIN 16-0915820 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $59K |
| CHARLENE BROCCOLI EIN 16-0915820 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $58K |
| PHIL BRUZZESE EIN 16-0915820 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $57K |
| PETER DECARLO CPA, PLLC EIN 51-0545975 UNION ACCOUNTANT | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $56K |
| REGINA HEILAND EIN 16-0915820 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $48K |
| JEAN PAWELEK EIN 16-0915820 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $44K |
| EMILIA D'AMBRO EIN 16-0915820 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $42K |
| BUCHBINDER TUNICK & CO. LLP EIN 13-1578842 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $40K |
| PAMELA MAZZATTI EIN 16-0915820 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $37K |
| DAVIS VISION EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $33K |
| RENE MURPHY-JOHNSON EIN 16-0915820 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $32K |
| CHERYL GRAZIANO EIN 16-0915820 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $30K |
| MARIANNE YOUNG EIN 16-0915820 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $27K |
| NADINE CAMPOLA EIN 16-0915820 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $20K |
| JOHANNA PACIELLO EIN 16-0915820 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $18K |
| HEALTHSMART RX SOLUTIONS EIN 34-1635597 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $12K |
| NORTHERN TRUST COMPANY EIN 36-1561860 INVESTMENT CUSTODIAN | Custodial (securities); Direct payment from the plan Service code 19 | — | $10K |
| OPTUMRX EIN 11-2581812 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $7K |
| INVESTMENT PERFORMANCE SERVICES EIN 58-1645832 INVESTMENT CONSULTANT | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $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 | 9,062 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 9,062 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 12,902 | $616K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 12,902 | $616K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 12,902 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.