| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COMMUNITY INVESTMENT SERVICES, INC.3 | 201 N UNION STREET PO BOX 690 OLEAN, NY 14760 | PRINCIPAL LIFE INS. CO. | $3K | — | $3K | 6.21% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY INC. | 706 N CLINTON STREET SYRACUSE, NY 13204 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 4.90% |
| COMMUNITY INVESTMENT SERVICES, INC.3 Filed as: COMMUNITY INVESTMENT SVCS INC. | 5790 WIDEWATERS PARKWAY DEWITT, NY 13214 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 3.35% |
| COMMUNITY INVESTMENT SERVICES, INC.3 Filed as: COMMUNITY INVESTMENT SVCS INC. | 5790 WIDEWATERS PARKWAY DEWITT, NY 13204 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | — | $7K | 16.90% |
| COMMUNITY INVESTMENT SERVICES, INC.3 | 120 EAGLE ROCK AVENUE EAST HANOVER, NJ 07936 | VISION SERVICE PLAN | $2K | — | $2K | 4.26% |
| COMMUNITY INVESTMENT SERVICES, INC.3 Filed as: COMMUNITY INVESTMENT SVCS INC. | 5790 WIDEWATERS PARKWAY DEWITT, NY 13214 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 9.21% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY INC. | 706 N CLINTON STREET SYRACUSE, NY 13204 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $152 | — | $152 | 0.47% |
| COMMUNITY INVESTMENT SERVICES, INC.3 Filed as: COMMUNITY INVESTMENT SVCS INC. | 5790 WIDEWATERS PARKWAY DEWITT, NY 13214 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
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 | 218 | 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) | 218 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 218 | $37K |
| Life insurance(4 contracts, 3 carriers) | PRINCIPAL LIFE INS. CO. | 213 | $154K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 114 | $32K |
| Stop-loss / reinsurancereinsurance | AMERICAN NATIONAL INS. CO. | 195 | $324K |
| Other(4 contracts, 3 carriers) | PRINCIPAL LIFE INS. CO. | 213 | $154K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 218 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.