| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN BENEFITS AND COMPENSATION3 Filed as: AMERICAN BENEFITS & COMPENSATION | SYSTEMS INC 99 PARK AVE FL 25 NEW YORK, NY 100161601 | METROPOLITAN LIFE INSURANCE COMPANY | — | $341K | $341K | 1.89% |
| PHILIP T DAVIS3 Filed as: PHILIP TOWNSEND | 457 MAIN STREET, SUITE 2C DANBURY, CT 06811 | THE PAUL REVERE LIFE INSURANCE COMPANY | $15K | $734 | $16K | 6.44% |
| CRAIG G. DAVIS3 Filed as: CRAIG DAVIS | PO BOX 1686 LAKEVILLE, CT 06039 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | — | $1K | 0.61% |
| CORPORATE COMPENSATION PLANS OF CT3 Filed as: CORPORATE COMPENSATION PLANS | OF CONNECTICUT INC 93 PINE HILL ROAD NEW FAIRFIELD, CT 06812 | THE PAUL REVERE LIFE INSURANCE COMPANY | $875 | — | $875 | 0.36% |
| DISABILITY SPECIALISTS INC3 Filed as: DISABILITY SPECIALISTS INC. | 20055 SW PACIFIC HWY, SUITE 203 SHERWOOD, OR 97140 | THE PAUL REVERE LIFE INSURANCE COMPANY | $20 | $10 | $30 | 0.01% |
| DAVIS, PHILIP, TOWNSEND3 | 457 MAIN ST, SUITE 2C DANBURY, CT 06811 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3K | $829 | $4K | 3.87% |
| DAVIS, CRAIG G3 Filed as: DAVIS, CRAIG, G | PO BOX 1686 LAKEVILLE, CT 06039 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | — | $1K | 1.20% |
| BENSMAN ASSOCIATES LTD3 Filed as: BENSMAN ASSOCIATES LTD. | 2333 WAUKEGAN RD STE 275 BANNOCKBURN, IL 600151574 | THE PAUL REVERE LIFE INSURANCE COMPANY | $15 | — | $15 | 0.02% |
| RENAISSANCE BENEFIT ADVISORS3 | 2500 YORK RD STE 210 JAMISON, PA 18929 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2K | — | $2K | 8.49% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 39,567 | $18.1M |
| Long-term disability(4 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 39,567 | $18.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 39,567 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.