| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LACY & CAHILL CONSULTING SERVICES L3 | 120 WALTON STREET, SUITE 500 SYRACUSE, NY 13202 | EXCELLUS BLUECROSS BLUESHEILD PLAN | $35K | — | $35K | 2.65% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LIFETIME BENEFIT SOLUTIONS EIN 16-1171765 THIRD PARTY ADMIN | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 333 BUTTERNUT DRIVE SYRACUSE, NY 13214 | $62K |
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 | 3,608 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,622 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EXCELLUS BLUECROSS BLUESHEILD PLAN | 2,939 | $1.3M |
| Vision | VISION SERVICE PLAN | 2,302 | $286K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,608 | $920K |
| Short-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 3,681 | $636K |
| Long-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 2,376 | $559K |
| Other(3 contracts, 2 carriers) | MAGELLAN HEALTH SERVICES, INC. | 3,608 | $141K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,681 | — |
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.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.