| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMWINS5 | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | TRANSAMERICA MEDICARE SUPPLEMENT | $138K | — | $138K | 12.42% |
| J.A. FACCIBENE & ASSOCIATES, INC.5 | 100 MERRICK ROAD SUITE 526W ROCKVILLE CENTRE, NY 11570 | TRANSAMERICA MEDICARE SUPPLEMENT | $40K | — | $40K | 3.57% |
| WEB TPA5 | 8500 FREEPORT PKWY SOUTH IRVING, TX 75063 | TRANSAMERICA MEDICARE SUPPLEMENT | $34K | — | $34K | 3.05% |
| AMWINS5 | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | STONEBRIDGE LIFE INSURANCE | $39K | — | $39K | 9.90% |
| J.A. FACCIBENE & ASSOCIATES, INC.5 Filed as: J. A. FACCIBENE & ASSOCIATES, INC. | 100 MERRICK ROAD SUITE 526W ROCKVILLE CENTRE, NY 11570 | STONEBRIDGE LIFE INSURANCE | $5K | — | $5K | 1.21% |
| PHP EMPLOYEE COMMISSIONS | 2501 BUENA VISTA SE ALBUQUERQUE, NM 87106 | PRESBYTERIAN HEALTH PLAN INC. | $0 | $0 | $0 | 0.00% |
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 | 1,628 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,628 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | TRANSAMERICA MEDICARE SUPPLEMENT | 391 | $1.1M |
| Life insurance | AETNA LIFE INSURANCE COMPANY | 1,628 | $324K |
| Prescription drug(2 contracts, 2 carriers) | STONEBRIDGE LIFE INSURANCE | 391 | $427K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,628 | — |
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.