| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES P. REAGAN AGENCY, INC.3 Filed as: JAMES P REAGAN AGENCY | 8 E MAIN STREET PO BOX 191 MARCELLUS, NY 13108 | EXCELLUS BLUE CROSS BLUE SHIELD | $64K | — | $64K | 3.88% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 1787 SENTRY PKWY W VEVA 16 SUITE 32 BLUE BELL, PA 19422 | GUARDIAN | $11K | — | $11K | 7.18% |
| VANGUARD II INC3 Filed as: VANGUARD RISK MANAGERS INC | PO BOX 191 MARCELLUS, NY 13108 | GUARDIAN | $8K | — | $8K | 5.09% |
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 | 222 | 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) | 222 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EXCELLUS BLUE CROSS BLUE SHIELD | 124 | $1.6M |
| Dental | GUARDIAN | 222 | $158K |
| Vision | GUARDIAN | 222 | $158K |
| Life insurance | GUARDIAN | 222 | $158K |
| Short-term disability | GUARDIAN | 222 | $158K |
| Long-term disability | GUARDIAN | 222 | $158K |
| Prescription drug | EXCELLUS BLUE CROSS BLUE SHIELD | 124 | $1.6M |
| Other | GUARDIAN | 222 | $158K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 222 | — |
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.