| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMWINS5 Filed as: AMWINS GROUP BENEFITS, LLC | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | TRANSAMERICA INSURANCE COMPANY | $90K | $0 | $90K | 12.98% |
| WEB TPA5 | 8500 FREEPORT PARKWAY SOUTH IRVING, TX 75063 | TRANSAMERICA INSURANCE COMPANY | $17K | $0 | $17K | 2.49% |
| HYLANT GROUP INC5 Filed as: HYLANT GROUP, INC. | 811 MADISON AVENUE TOLEDO, OH 43604 | TRANSAMERICA INSURANCE COMPANY | $16K | $0 | $16K | 2.32% |
| J.A. FACCIBENE & ASSOCIATES, INC.5 Filed as: J. A. FACCIBENE & ASSOCIATES, INC. | 100 MERRICK ROAD SOUTH 460 WEST ROCKVILLE CENTRE, NY 11570 | TRANSAMERICA INSURANCE COMPANY | $9K | $0 | $9K | 1.25% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVENUE TOLEDO, OH 43604 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $34 | $34 | 0.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON US, LLC | PO BOX 28852 NEW YORK, NY 10087 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $32 | $32 | 0.01% |
| AMWINS5 Filed as: AMWINS GROUP BENEFITS, LLC | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | EXPRESS SCRIPTS, INC. | $35K | $0 | $35K | 12.50% |
| HYLANT GROUP INC5 Filed as: HYLANT GROUP, INC. | 811 MADISON AVENUE TOLEDO, OH 43604 | EXPRESS SCRIPTS, INC. | $2K | $0 | $2K | 0.58% |
| J.A. FACCIBENE & ASSOCIATES, INC.5 Filed as: J. A. FACCIBENE & ASSOCIATES, INC. | 100 MERRICK ROAD SOUTH 460 WEST ROCKVILLE CENTRE, NY 11570 | EXPRESS SCRIPTS, INC. | $867 | $0 | $867 | 0.31% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVENUE TOLEDO, OH 43604 | HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NEW YORK | $90 | $0 | $90 | 0.22% |
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 | 1,252 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,252 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | TRANSAMERICA INSURANCE COMPANY | 191 | $736K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,774 | $530K |
| Prescription drug(3 contracts, 3 carriers) | TRANSAMERICA INSURANCE COMPANY | 191 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,774 | — |
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.