| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CAPITAL FINANCIAL GROUP INC3 Filed as: CAPITAL FINANCIAL GROUP, INC. | 89 SARATOGA AVE SOUTH GLENS FALLS, NY 12803 | CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC. | $27K | — | $27K | 13.18% |
| CAPITAL FINANCIAL GROUP INC3 Filed as: CAPITAL FINANCIAL GROUP, INC. | 89 SARATOGA AVE SOUTH GLENS FALLS, NY 12803 | HEALTHNOW NEW YORK,INC.DBA BLUESHIELD OF NORTHEASTERN NEW YORK | $3K | — | $3K | 2.95% |
| CAPTIAL FINANCIAL GROUP, INC.3 | 89 SARATOGA AVENUE SOUTH GLENS FALLS, NY 12803 | HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK | $760 | — | $760 | 2.21% |
| CAPITAL FINANCIAL GROUP INC3 Filed as: CAPITAL FINANCIAL GROUP | 89 SARATOGA AVE PO BOX 1265 SOUTH GLENS FALLS, NY 12803 | HEALTHNOW NEW YORK,INC.DBA BLUESHIELD OF NORTHEASTERN NEW YORK | $125K | — | $125K | — |
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 | 392 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 106 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 498 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC. | 825 | $354K |
| Vision | HEALTHNOW NEW YORK,INC.DBA BLUESHIELD OF NORTHEASTERN NEW YORK | 825 | $0 |
| Prescription drug(4 contracts, 2 carriers) | CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC. | 825 | $354K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 825 | — |
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.