| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CAMBRIDGE LIFE BROKERAGE LLC3 | 875 AVENUE OF THE AMERICAS 350 FIFTH AVENUE, SUITE 3700 NEW YORK, NY 10001 | HCC LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PARKWAY W VEVA 16 SUITE 320 BLUE BELL, PA 19422 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $50K | $7K | $58K | 19.95% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CAMBRIDGE LIFE BROKERAGE LLC EIN 45-2642901 BROKER | Consulting (general); Float revenue; Insurance agents and brokers; Insurance services; Direct payment from the plan Service code 16 | 875 AVENUE OF THE AMERICAS SUITE 1010 NEW YORK, NY 10001 | $120K |
| ALLIED BENEFIT SYSTEMS LLC EIN 36-3088057 TPA | Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Insurance services; Plan Administrator Service code 14 | 200 W. ADAMS ST SUITE 500 CHICAGO, IL 60606 | $103K |
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 PPO | Other services; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | 900 COTTAGE GROWN RD BLOOMFIELD, CT 06002 | $53K |
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 | 275 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 275 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 400 | $289K |
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 400 | $289K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 400 | $289K |
| Short-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 400 | $289K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 400 | $289K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 275 | $308K |
| Other | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 400 | $289K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 400 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.