| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TITAN INSURANCE3 | 610 CLINTON SQUARE ROCHESTER, NY 14604 | EXCELLUS BLUECROSS BLUESHIELD | $30K | — | $30K | 4.33% |
| TITAN INSURANCE3 | 610 CLINTON SQUARE ROCHESTER, NY 14604 | CIGNA GROUP INSURANCE | $2K | — | $2K | 9.98% |
| TITAN INSURANCE3 | 610 CLINTON SQUARE ROCHESTER, NY 14604 | CIGNA GROUP INSURANCE | $2K | — | $2K | 10.44% |
| TITAN INSURANCE3 | 610 CLINTON SQUARE ROCHESTER, NY 14604 | CIGNA GROUP INSURANCE | $1K | — | $1K | 15.00% |
| TITAN INSURANCE3 | 1 SOUTH CLINTON AVE, SUITE 1030 ROCHESTER, NY 14604 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1K | $431 | $2K | 26.11% |
| ALLIANCE ADVISORY GRP INC3 Filed as: ALLIANCE ADVISORY GROUP INC | 350 ESSJAY RD WILLIAMSVILLE, NY 14221 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $28 | — | $28 | 0.40% |
| U.S. EMPLOYEE BENEFITS SERVICES GRO3 | ONE SOUTH CLINTON AVE, STE. 1030 ROCHESTER, NY 14604 | EYEMED | $385 | — | $385 | 5.46% |
| US EMPLOYEE BENEFITS SERVICES GROUP3 | ONE SOUTH CLINTON AVE, STE. 1030 ROCHESTER, NY 14604 | EYEMED | $210 | — | $210 | 2.98% |
| TITAN INSURANCE3 | 610 CLINTON SQUARE ROCHESTER, NY 14604 | EYEMED | $55 | — | $55 | 0.78% |
| TITAN INSURANCE3 | 610 CLINTON SQUARE ROCHESTER, NY 14604 | CIGNA GROUP INSURANCE | $246 | — | $246 | 15.03% |
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 | 102 | 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. |
| Total participants (= "Plan participants" tile) | 102 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EXCELLUS BLUECROSS BLUESHIELD | 108 | $692K |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 97 | $7K |
| Vision | EYEMED | 117 | $7K |
| Life insurance | CIGNA GROUP INSURANCE | 102 | $15K |
| Short-term disability | CIGNA GROUP INSURANCE | 102 | $15K |
| Long-term disability | CIGNA GROUP INSURANCE | 102 | $9K |
| Prescription drug | EXCELLUS BLUECROSS BLUESHIELD | 108 | $692K |
| Other | CIGNA GROUP INSURANCE | 133 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 133 | — |
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.