| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FLOSS AGENCY INC.3 | 6465 TRANSIT ROAD EAST AMHERST, NY 14051 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $0 | $11K | 7.28% |
| EMS FINANCIAL SERVICES LLC Filed as: EMS FINANCIAL SERVICES, LLC | 6724 MAIN STREET WILLIAMSVILLE, NY 14221 | BLUE CROSS BLUE SHIELLD OF WNY | — | — | $0 | 0.00% |
| EMS FINANCIAL SERVICES LLC Filed as: EMS FINANCIAL SERVICES, LLC | 6724 MAIN STREET WILLIAMSVILLE, NY 14221 | BLUE CROSS BLUE SHIELD OF WNY | — | — | $0 | 0.00% |
| TODD HENNESSY3 Filed as: TODD M HENNESSY | 78 GARDEN COURT AMHERST, NY 14226 | THE PAUL REVERE LIFE INSURANCE COMPANY | $4K | $0 | $4K | 31.69% |
| FLOSS AGENCY INC.3 | 6465 TRANSIT ROAD EAST AMHERST, NY 14051 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3K | $0 | $3K | 21.40% |
| STEPHEN JOSEPH JOYCE3 | 70 SARGENT DRIVE AMHERST, NY 14226 | THE PAUL REVERE LIFE INSURANCE COMPANY | $787 | $529 | $1K | 10.58% |
| LOUIS CROCE3 | 79 EDNA PLACE LACKAWANNA, NY 14218 | THE PAUL REVERE LIFE INSURANCE COMPANY | $9 | $3 | $12 | 0.10% |
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 | 252 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 259 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | INDEPENDENT HEALTH BENEFITS CORPORATION | 147 | $1.4M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 381 | $168K |
| Vision(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 381 | $168K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 381 | $168K |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 381 | $168K |
| Long-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 381 | $168K |
| Prescription drug(3 contracts, 2 carriers) | BLUE CROSS BLUE SHIELLD OF WNY | 13 | $71K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 381 | $168K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 381 | — |
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."
No prospect flags tripped on this filing.