| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PERRY AND CARROLL INC.3 Filed as: PERRY & CARROLL, INC. | 100 WEST CHURCH STREET PO BOX 307 ELMIRA, NY 14902 | EXCELLUS BLUE CROSS BLUE SHIELD | $79K | — | $79K | 3.38% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| M SCAPTURA EIN 16-6052225 EMPLOYEE | Employee (plan) Service code 30 | — | $82K |
| MORGAN STANLEY SMITH BARNEY LLC EIN 11-3658445 INVESTMENT ADVISOR | Securities brokerage commissions and fees; Other services; Other fees; Other investment fees and expenses; Direct payment from the plan; Securities brokerage; Investment advisory (plan) Service code 27 | — | $36K |
| SHEET METAL WORKERS LOCAL 112 EIN 16-0578131 ADMINISTRATION | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $21K |
| MENGEL, METZGER, BARR & CO. LLP EIN 16-1092347 AUDITOR | Accounting (including auditing) Service code 10 | — | $17K |
| BENEFIT RESOURCE LLC EIN 16-1428488 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $11K |
| EXCELLUS BLUE CROSS BLUE SHIELD EIN 15-0329043 INSURANCE CARRIER | Claims processing Service code 12 | — | $11K |
| JUDITH J GUSH EIN 47-2595681 OUTSIDE ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $8K |
| OSULLIVAN ASSOCIATES EIN 22-1837827 ACTUARY | Actuarial Service code 11 | — | $6K |
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 | 233 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 39 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 272 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EXCELLUS BLUE CROSS BLUE SHIELD | 206 | $2.3M |
| Prescription drug | EXCELLUS BLUE CROSS BLUE SHIELD | 206 | $2.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 206 | — |
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.
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.