| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GROUP HEALTH SOLUTIONS INC3 | 148 MADISON AVENUE NEW YORK, NY 10016 | HORIZON HEALTHCARE SERVICES, INC. | $92K | — | $92K | 2.67% |
| GROUP HEALTH SOLUTIONS INC3 Filed as: GROUP HEALTH SOLUTIONS INC. | 148 MADISON AVENUE NEW YORK, NY 10016 | HORIZON HEALTHCARE SERVICES, INC. | $13K | — | $13K | 1.86% |
| GROUP HEALTH SOLUTIONS INC3 Filed as: GROUP HEALTH SOLUTIONS INC. | 148 MADISON AVENUE NEW YORK, NY 10016 | HORIZON HEALTHCARE SERVICES, INC. | $9K | — | $9K | 2.75% |
| GROUP HEALTH SOLUTIONS INC3 | 148 MADISON AVENUE 15TH FLOOR NEW YORK, NY 10016 | USABLE LIFE | $13K | — | $13K | 26.78% |
| HORIZON INSURANCE COMPANY3 | 3 PENN PLAZA EAST M2H NEWARK, NJ 07105 | USABLE LIFE | — | $8K | $8K | 16.78% |
| BLOOM HEALTH INSURANCE AGENCY LLC3 | 15 SOUTH 5TH STREET SUITE 300 MINNEAPOLIS, MN 55402 | USABLE LIFE | $2K | — | $2K | 4.17% |
| GROUP HEALTH SOLUTIONS INC3 | 148 MADISON AVENUE NEW YORK, NY 10016 | HORIZON INSURANCE COMPANY | $5K | — | $5K | 10.09% |
| GROUP HEALTH SOLUTIONS INC3 | 148 MADISON AVENUE 15TH FLOOR NEW YORK, NY 10016 | USABLE LIFE | $10K | — | $10K | 52.17% |
| HORIZON INSURANCE COMPANY3 | 3 PENN PLAZA EAST M2H NEWARK, NJ 07105 | USABLE LIFE | — | $7K | $7K | 34.78% |
| BLOOM HEALTH INSURANCE AGENCY LLC3 | 15 SOUTH 5TH STREET SUITE 300 MINNEAPOLIS, MN 55402 | USABLE LIFE | $3K | — | $3K | 13.04% |
| GROUP HEALTH SOLUTIONS INC3 | 148 MADISON AVENUE 15TH FLOOR NEW YORK, NY 10016 | USABLE LIFE | $2K | — | $2K | 14.30% |
| HORIZON INSURANCE COMPANY3 | 3 PENN PLAZA EAST M2H NEWARK, NJ 07105 | USABLE LIFE | — | $1K | $1K | 10.35% |
| BLOOM HEALTH INSURANCE AGENCY LLC3 | 15 SOUTH 5TH STREET SUITE 300 MINNEAPOLIS, MN 55402 | USABLE LIFE | $575 | — | $575 | 4.02% |
| GROUP HEALTH SOLUTIONS INC3 | 148 MADISON AVENUE 15TH FLOOR NEW YORK, NY 10016 | USABLE LIFE | $4K | — | $4K | 57.03% |
| HORIZON INSURANCE COMPANY3 | 3 PENN PLAZA EAST M2H NEWARK, NJ 07105 | USABLE LIFE | — | $3K | $3K | 33.12% |
| BOOM HEALTH INSURANCE AGENCY LLC3 | 15 SOUTH 5TH STREET SUITE 300 MINNEAPOLIS, MN 55402 | USABLE LIFE | $757 | — | $757 | 9.85% |
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 | 813 | 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) | 825 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HORIZON HEALTHCARE SERVICES, INC. | 517 | $3.5M |
| Dental | HORIZON HEALTHCARE SERVICES, INC. | 543 | $310K |
| Vision | HORIZON INSURANCE COMPANY | 454 | $45K |
| Life insurance(2 contracts) | USABLE LIFE | 813 | $34K |
| Short-term disability | USABLE LIFE | 172 | $8K |
| Long-term disability | USABLE LIFE | 154 | $49K |
| Prescription drug | HORIZON HEALTHCARE SERVICES, INC. | 333 | $684K |
| Other(2 contracts) | USABLE LIFE | 813 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 813 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.