| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DKG INS & FINANCIAL SERV INC.3 | 1133 WESTCHESTER AVENUE SUITE S 229 WHITE PLAINS, NY 10604 | CIGNA HEALTH AND LIFE INS. COMPANY | $15K | — | $15K | 5.60% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FNCL SVCS | 1133 WESTCHESTER AVENUE S-229 WHITE PLAINS, NY 10604 | LINCOLN FINANCIAL GROUP | $3K | $4K | $7K | 13.56% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CENTERSTONE INS & FNCL SERVICES BROKER | Insurance brokerage commissions and fees Service code 53 | 1133 WESTCHESTER AVENUE SUITE S 229 WHITE PLAINS, NY 10604 | $125K |
| CIGNA HEALTH & LIFE INS. COMPANY EIN 59-1031071 CONTRACT ADMINISTRATOR | Participant communication; Direct payment from the plan; Non-monetary compensation; Claims processing; Contract Administrator; Other services; Float revenue; Named fiduciary Service code 12 | 900 COTTAGE GROVE ROAD BLOOMFIELD, CT 06152 | $80K |
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 | 733 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 738 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INS. COMPANY | 446 | $274K |
| Life insurance | LINCOLN FINANCIAL GROUP | 738 | $52K |
| Other | LINCOLN FINANCIAL GROUP | 738 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 738 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.