| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LAKESHORE BENEFIT GROUP INSURANCE3 | 301 ALBANY TURNPIKE CANTON, CT 06019 | THE UNION LABOR OF LIFE INSURANCE COMPANY | $9K | — | $9K | 15.00% |
| LAKESHORE BENEFIT GROUP INSURANCE | 301 ALBANY TURNPIKE CANTON, CT 06019 | GERBER LIFE INSURANCE COMPANY | — | — | $0 | — |
| LAKESHORE BENEFIT GROUP INSURANCE3 | 301 ALBANY TURNPIKE CANTON, CT 06019 | PROGRESSIVE BENEFIT SOLUTIONS LLC | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| I.E. SHAFFER & CO. EIN 22-1750854 NONE | Contract Administrator Service code 13 | — | $507K |
| VANGUARD INSTITUTION INVESTOR SERVI EIN 23-7825314 NONE | Investment advisory (plan) Service code 27 | — | $102K |
| UBS FINANCIAL SERVICES EIN 13-2638166 NONE | Custodial (securities) Service code 19 | — | $54K |
| LINDABURY, MCCORMICK EIN 22-1943351 NONE | Legal Service code 29 | — | $37K |
| MSPC CERTIFIED PUBLIC ACCOUNTANTS EIN 22-2951202 NONE | Accounting (including auditing) Service code 10 | — | $33K |
| KROLL & HEINEMAN EIN 22-2897879 NONE | Legal Service code 29 | — | $30K |
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 | 799 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 459 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,258 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR OF LIFE INSURANCE COMPANY | 797 | $61K |
| Stop-loss / reinsurancereinsurance | GERBER LIFE INSURANCE COMPANY | 0 | $0 |
| Other(2 contracts, 2 carriers) | THE UNION LABOR OF LIFE INSURANCE COMPANY | 797 | $61K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 797 | — |
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.