| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FNA INSURANCE SERVICES INC3 Filed as: FNA INSURANCE SERVICES INC. | 1000 WOODBURY RD WOODBURY, NY 11797 | AETNA LIFE INSURANCE CO. | $7K | — | $7K | 0.95% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST 621603 | 40 29 235TH ST DOUGLASTON, NY 11363 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $690 | $4K | 13.42% |
| GOLD SKY BENEFITS LLC3 | 40 29 235TH ST DOUGLASTON, NY 11363 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $690 | $2K | 6.32% |
| FNA INSURANCE SERVICES INC3 | 1000 WOODBURY RD 4TH FL, SUITE 403 WOODBURY, NY 11797 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $1K | $1K | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST 621603 | 40 29 235TH ST DOUGLASTON, NY 11363 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $390 | $3K | 12.40% |
| GOLD SKY BENEFITS LLC3 | 40-29 235TH ST DOUGLASTON, NC 11363 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $390 | $2K | 5.37% |
| FNA INSURANCE SERVICES INC3 | 1000 WOODBURY RD 4TH FL, SUITE 403 WOODBURY, NY 11797 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $1K | $1K | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST 621603 | 40 29 235TH ST DOUGLASTON, NY 11363 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $595 | $4K | 17.45% |
| GOLD SKY BENEFITS LLC3 | 40-29 235TH ST DOUGLASTON, NY 11363 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $595 | $2K | 7.47% |
| FNA INSURANCE SERVICES INC3 Filed as: FNA INSURANCE SERVICES, INC | 1000 WOODBURY RD 4TH FL, SUITE 403 WOODBURY, NY 11363 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $1K | $1K | 5.00% |
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 | 829 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 841 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE CO. | 1,665 | $689K |
| Vision | AETNA LIFE INSURANCE CO. | 1,665 | $689K |
| Other(3 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 343 | $82K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,665 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.