| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 100 PINEWOOD LANE SUITE 301 WARRENDALE, PA 15086 | HIGHMARK, INC. | $63K | — | $63K | 4.15% |
| MY BENEFIT ADVISOR LLC3 Filed as: MY BENEFIT ADVISOR | 669 RIVER DRIVE CENTER II SUITE 305 ELMWOOD PARK, NJ 07407 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $11K | — | $11K | 8.32% |
| EMERSON REID LLC3 Filed as: EMERSON REID LLC 013080 | 669 RIVER DRIVE CENTER II SUITE 305 ELMWOOD PARK, NJ 07407 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $6K | $6K | 5.00% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC 008920 | 669 ROVER DRIVE CENTER II SUITE 305 ELMWOOD PARK, NJ 07407 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $3K | $3K | 2.63% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS | 669 RIVER DRIVE CENTER II SUITE 305 ELMWOOD PARK, NJ 07407 | UNITED CONCORDIA INSURANCE COMPANY | $10K | $916 | $11K | 10.96% |
| MY BENEFIT ADVISOR LLC3 Filed as: MY BENEFIT ADVISOR | 1305 WALT WHITMAN ROAD MELVILLE, NY 11747 | UNITED CONCORDIA INSURANCE COMPANY | — | $916 | $916 | 0.93% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 1787 SENTRY PARKWAY WEST VEVA SUITE 320 BLUE BELL, PA 19422 | VISION BENEFITS OF AMERICA | $868 | — | $868 | 10.01% |
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 | 142 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK, INC. | 221 | $1.5M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 240 | $99K |
| Vision | VISION BENEFITS OF AMERICA | 132 | $9K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 142 | $129K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 142 | $129K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 142 | $129K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 142 | $129K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 240 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.