| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE GEORGE L. WLADIS COMPANY, INC.3 | 528 PLUM COURT SYRACUSE, NY 13204 | EXCELLUS BLUECROSS BLUESHIELD | $5K | — | $5K | 3.97% |
| THE GEORGE L. WLADIS COMPANY, INC.3 | 528 PLUM COURT SYRACUSE, NY 13204 | EXCELLUS BLUECROSS BLUESHIELD | $309 | — | $309 | 9.34% |
| THE GEORGE L. WLADIS COMPANY, INC.3 | 528 PLUM COURT SYRACUSE, NY 13204 | EXCELLUS BLUECROSS BLUESHIELD | $397 | — | $397 | 15.44% |
| THE GEORGE L. WLADIS COMPANY, INC.3 | 528 PLUM COURT SYRACUSE, NY 13204 | EXCELLUS BLUECROSS BLUESHIELD | $109 | — | $109 | 9.27% |
| THE GEORGE L. WLADIS COMPANY, INC.3 | 528 PLUM COURT SYRACUSE, NY 13204 | EXCELLUS BLUECROSS BLUESHIELD | $142 | — | $142 | 16.57% |
| THE GEORGE L. WLADIS COMPANY, INC.3 | 528 PLUM COURT SYRACUSE, NY 13204 | EXCELLUS BLUECROSS BLUESHIELD | $94 | — | $94 | 12.05% |
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 | 31 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 31 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EXCELLUS BLUECROSS BLUESHIELD | 11 | $125K |
| Dental(5 contracts) | EXCELLUS BLUECROSS BLUESHIELD | 7 | $9K |
| Prescription drug | EXCELLUS BLUECROSS BLUESHIELD | 11 | $125K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 11 | — |
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.