| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TOMPKINS INSURANCE AGENCIES3 Filed as: TOMPKINS INSURANCE AGENCIES INC | 90 MAIN STREET BATAVIA, NY 14020 | HARTFORD LIFE & ACCIDENT INSURANCE | $41K | $0 | $41K | 15.17% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 | 1933 STATE ROUTE 35 STE 368 WALL, NJ 07719 | HARTFORD LIFE & ACCIDENT INSURANCE | $0 | $16K | $16K | 6.01% |
| TOMPKINS INSURANCE AGENCIES3 Filed as: TOMPKINS INS AGENCIES INC | 90 MAIN ST BATAVIA, NY 14020 | DELTA DENTAL OF PENNSYLVANIA | $25K | $0 | $25K | 10.00% |
| TOMPKINS INSURANCE AGENCIES3 Filed as: TOMPKINS INS AGENCIES INC | 90 MAIN STREET BATAVIA, NY 14020 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $141 | $2K | 7.55% |
| TOMPKINS INS AGENCY3 | 90 MAIN ST BATAVIA, NY 14020 | VISION SERVICE PLAN | $2K | $0 | $2K | 5.67% |
| TOMPKINS INS AGENCY3 Filed as: TOMPKINS INSURANCE AGENCY | 90 MAIN STREET BATAVIA, NY 14020 | AETNA INTERNATIONAL | $2K | $0 | $2K | 30.00% |
| TOMPKINS INS AGENCY3 | 90 MAIN ST BATAVIA, NY 14020 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $179 | $0 | $179 | 8.10% |
| ASSUREDPARTNERS Filed as: ASSURED PARTNERS OF NEW JERSEY LLC | 3650 WINDING WAY, SUITE 200 NEWTON SQUARE, PA 19073 | FEDERAL INSURANCE COMPANY | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TOMPKINS INSURANCE AGENCIES INC. EIN 83-0389955 BROKER | Insurance agents and brokers Service code 22 | — | $123K |
| EXPRESS SCRIPTS EIN 43-1420563 ADMIN | Claims processing Service code 12 | — | $19K |
| HEALTH EQUITY EIN 52-2383166 ADMIN | Claims processing Service code 12 | — | $11K |
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 | 303 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 100 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 403 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 619 | $4.6M |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 278 | $245K |
| Vision | VISION SERVICE PLAN | 298 | $32K |
| Life insurance | HARTFORD LIFE & ACCIDENT INSURANCE | 398 | $270K |
| Other(6 contracts, 5 carriers) | HARTFORD LIFE & ACCIDENT INSURANCE | 398 | $312K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 619 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.