| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES | 340 MADISON AVE FL 21 NEW YORK, NY 10173 | STANDARD INSURANCE COMPANY | $59K | — | $59K | 1.86% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES | 340 MADISON AVE FL 21 NEW YORK, NY 10173 | STANDARD INSURANCE COMPANY | $20K | — | $20K | 4.10% |
| NPF CORPORATE SERVICES NY LLC3 Filed as: NPF CORPORATE SERVICES | 340 MADISON AVENUE 21ST FLOOR NEW YORK, NY 10173 | HARTFORD LIFE INSURANCE CO. | $678 | — | $678 | 0.72% |
| ATLAS ADVISORY GROUP LLC3 | 21 COMMERCE DRIVE CRANFORD, NJ 07016 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $13K | $2K | $15K | 20.07% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH STREET STE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $2K | $2K | 2.18% |
| ATLAS ADVISORY GROUP LLC3 | 21 COMMERCE DRIVE CRANFORD, NJ 07016 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $322 | $2K | 20.46% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH STREET STE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $360 | $360 | 2.99% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES | 640 MADISON AVENUE 21ST FLOOR NEW YORK, NY 10173 | HARTFORD LIFE INSURANCE CO. | $9K | — | $9K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE CO. EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | 151 FARMINGTON AVE HARTFORD, CT 06156 | $1.1M |
| NFP CORPORATE SERVICES EIN 20-1941665 BROKER | Consulting (general); Insurance agents and brokers Service code 16 | 340 MADISON AVE, 21ST FLOOR NEW YORK, NY 10173 | $172K |
| PAYFLEX SYSTEMS USA, INC. EIN 91-1774434 CONTRACT ADMINISTRATOR | Claims processing Service code 12 | 10802 FARNAM DR., SUITE 100 OMAHA, NE 68154 | $34K |
| ATLAS ADVISORY GROUP LLC BROKER | Insurance agents and brokers; Consulting (general) Service code 16 | 21 COMMERCE DRIVE CRANFORD, NJ 07016 | $17K |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | AETNA LIFE INSURANCE CO. | 0 | $75K |
| Vision(2 contracts) | EYEMED VISION CARE | 0 | $150K |
| Life insurance(3 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 0 | $3.6M |
| Long-term disability(5 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 0 | $3.7M |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE CO. | 0 | $1.1M |
| Other(4 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 0 | $3.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.