| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LAKESHORE BENEFIT GROUP INSURANCE3 Filed as: LAKESHORE BENEFIT GRP INS BROKERAGE | 301 ALBANY TURNPIKE CANTON, CT 06019 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| LAKESHORE BENEFIT GROUP INSURANCE3 Filed as: LAKESHORE BENEFIT GRP INS BROKERAGE | 301 ALBANY TURNPIKE CANTON, CT 06019 | THE UNION LABOR OF LIFE INSURANCE CO | $17K | — | $17K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HORIZON BLUE CROSS BLUE SHIELD OF N NONE | Claims processing; Contract Administrator Service code 12 | 3 PENN PLAZA EAST, PP-04V NEWARK, NJ 07105 | $373K |
| I.E. SHAFFER & CO. EIN 22-1750854 NONE | Contract Administrator Service code 13 | — | $293K |
| MSPC CERTIFIED PUBLIC ACCOUNTANTS EIN 22-2951202 NONE | Accounting (including auditing) Service code 10 | — | $58K |
| O BRIEN, BELLAND & BUSHINSKY LLC EIN 37-1467056 NONE | Legal Service code 29 | — | $41K |
| LINDABURY, MCCORMICK, ESTABROOK EIN 22-1943351 NONE | Legal Service code 29 | — | $29K |
| WEAVER C. BARKSDALE EIN 62-1217255 NONE | Investment advisory (plan) Service code 27 | — | $21K |
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 | 524 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 243 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 767 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 768 | $26K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR OF LIFE INSURANCE CO | 617 | $0 |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 768 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 768 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.