| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NBT INSURANCE AGENCY LLC3 Filed as: NBT INSURANCE AGENCY, LLC | 66 SOUTH BROAD ST, STE.2 NORWICH, NY 13815 | SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK | $74K | — | $74K | 8.06% |
| NBT INSURANCE AGENCY LLC3 Filed as: NBT-MANG INSURANCE AGENCY, LLC | 66 SOUTH BROAD STREET, SUITE 2 NORWICH, NY 13815 | GERBER LIFE & ACCIDENT INSURANCE COMPANY | $721 | — | $721 | 15.01% |
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 | 1,853 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 257 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,110 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | HM LIFE INSURANCE COMPANY | 2,574 | $197K |
| Life insurance | SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK | 2,184 | $925K |
| Long-term disability | SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK | 2,184 | $925K |
| Other(5 contracts, 3 carriers) | SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK | 2,184 | $963K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,574 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.