| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: WALSH DUFFIELD COMPANIES, INC. | 801 MAIN STREET BUFFALO, NY 142031299 | INDEPENDENT HEALTH BENEFITS CORPORATION | $150K | — | $150K | 1.17% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS NORTHEAST LLC | 71 MONROE AVENUE STE A PITTSFORD, NY 14534 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $18K | — | $18K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: WALSH DUFFIELD COMPANIES, INC. | 801 MAIN STREET BUFFALO, NY 142031299 | INDEPENDENT HEALTH BENEFITS CORPORATION | $410 | — | $410 | 1.11% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS NORTHEAST LLC | 71 MONROE AVENUE STE A PITTSFORD, NY 14534 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $3K | — | $3K | 17.63% |
No Schedule C service providers reported on this filing.
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 | 3,864 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,867 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts) | INDEPENDENT HEALTH BENEFITS CORPORATION | 1,084 | $12.9M |
| Vision | EASTERN VISION SERVICE PLAN, INC | 936 | $114K |
| Life insurance | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | 3,864 | $182K |
| Other | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | 3,864 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,864 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.