| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCHONBERG, THOMAS3 | 8 WOODS LANE RYE, NY 10580 | CIGNA HEALTH AND LIFE INSURANCE CO. | $7K | — | $7K | 4.98% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BLVD, 2ND FLOOR HAUPPAUGE, NY 11788 | CIGNA HEALTH AND LIFE INSURANCE CO. | $0 | $5K | $5K | 3.56% |
| LOURO, STEPHEN3 | PROF GRP. PLANS 225 WIRELESS BLVD. 2ND FLR HAUPPAUGE, NY 11788 | CIGNA HEALTH AND LIFE INSURANCE CO. | $2K | $0 | $2K | 1.25% |
| THOMAS SCHONBERG3 | 8 WOODS LANE ST RYE, NY 10580 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 7.17% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 100 WALNUT AVE STE 504 CLARK, NJ 07006 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $2K | $2K | 6.11% |
| STEPHEN LOURO3 | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $456 | $456 | 1.79% |
| THOMAS SCHONBERG3 | 8 WOODS LANE ST. RYE, NY 10580 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $107 | — | $107 | 12.02% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 100 WALNUT AVE SUITE 504 CLARK, NJ 07006 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $50 | $50 | 5.62% |
| STEPHEN LOURO3 | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $27 | — | $27 | 3.03% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 ADMINISTRATOR | Other services; Float revenue; Named fiduciary; Claims processing; Participant communication; Direct payment from the plan; Contract Administrator; Non-monetary compensation Service code 12 | — | $100K |
| THOMAS SCHONBERG BROKER | Insurance agents and brokers Service code 22 | 8 WOODS LANE RYE, NY 10580 | $30K |
| PROFESSIONAL GROUP PLANS INC. BROKER | Insurance agents and brokers Service code 22 | 225 WIRELESS BLVD, SUITE 200 HAUPPAUGE, NY 11788 | $26K |
| STEPHEN LOURO BROKER | Insurance agents and brokers Service code 22 | 225 WIRELESS BLVD. SUITE 200 HAUPPAUGE, NY 11788 | $7K |
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 | 103 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 103 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE CO. | 105 | $134K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE CO. | 105 | $134K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 30 | $25K |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 103 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 105 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.