| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTEGRITY UNDERWRITERS & BROKERS3 Filed as: INTEGRITY UNDERWRITERS AND BROKERS | 4914 W. GENESEE ST CAMILLUS, NY 13031 | AMALGAMATED LIFE INSURANCE CO | $80K | — | $80K | 13.75% |
| SIEBA, LTD.3 | PO BOX 5000 ENDICOTT, NY 13761 | SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK | $2K | — | $2K | 3.86% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD EIN 16-0992982 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $288K |
| HEALTHLOGIC LLC NONE | Other services; Direct payment from the plan Service code 49 | 33 OAK STREET BINGHAMTON, NY 13905 | $54K |
| SIEBA, LTD. EIN 16-1203699 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $30K |
| TEAMSTERS LOCAL UNION NO. 1149 EIN 16-6045613 RELATED PARTY | Direct payment from the plan; Plan Administrator Service code 14 | — | $22K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $9K |
| SATTER LAW FIRM NONE | Legal; Direct payment from the plan Service code 29 | 217 SOUTH SALINA STREET SYRACUSE, NY 13202 | $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 | 610 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 612 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | HM LIFE INSURANCE COMPANY | 365 | $32K |
| Life insurance | SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK | 524 | $63K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE CO | 610 | $579K |
| Other | SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK | 524 | $63K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 610 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.