| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS INC. | 7789 OSWEGO ROAD LIVERPOOL, NY 13090 | EXCELLUS BLUE CROSS BLUE SHIELD | $59K | — | $59K | 18.77% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EXCELLUS BLUECROSS BLUESHIELD EIN 15-0329043 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $221K |
| PROACT NONE | Claims processing; Direct payment from the plan Service code 12 | 6333 ROUTE 298, SUITE 210 EAST SYRACUSE, NY 13057 | $49K |
| CORNELL POCHILY EIN 26-1694165 NONE | Investment management fees paid directly by plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $48K |
| BONADIO & CO., LLP EIN 16-1131146 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $30K |
| DELTA DENTAL OF NEW YORK EIN 11-1980218 NONE | Direct payment from the plan; Plan Administrator; Claims processing Service code 12 | — | $24K |
| O'SULLIVAN ASSOCIATES EIN 20-8199367 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $13K |
| LIPSITZ GREEN SCIME CAMBRIA LLP NONE | Direct payment from the plan; Legal Service code 29 | 42 DELAWARE AVENUE, SUITE 120 BUFFALO, NY 14202 | $12K |
| LOCAL 785 BUILDING CORP RELATED PARTY/SHARED EXP. | Other services; Direct payment from the plan Service code 49 | 622 W. STATE STREET ITHACA, NY 14850 | $8K |
| DAVIS VISION EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $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 | 289 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 289 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | EXCELLUS BLUE CROSS BLUE SHIELD | 289 | $313K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 289 | — |
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.