| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BLVD - STE 200 HAUPPAUGE, NY 11788 | RELIANCE STANDARD LIFE INSURANCE CO. | $5K | — | $5K | 5.00% |
| MARK SPIVAK (THE WEISS GRPOUP)4 | 200 PARK AVE, 32ND FLR NEW YORK, NY 10166 | RELIANCE STANDARD LIFE INSURANCE CO. | $4K | — | $4K | 3.45% |
| MARK SPIVAK (THE WEISS GRPOUP) | 200 PARK AVE, 32ND FLR NEW YORK, NY 10166 | RELIANCE STANDARD LIFE INSURANCE CO. | $1K | — | $1K | 15.00% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BLVD - STE 200 HAUPPAUGE, NY 11788 | RELIANCE STANDARD LIFE INSURANCE CO. | $430 | — | $430 | 5.00% |
| MARK SPIVAK (THE WEISS GRPOUP)3 | 200 PARK AVE, 32ND FLR NEW YORK, NY 10166 | RELIANCE STANDARD LIFE INSURANCE CO. | $697 | — | $697 | 11.00% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BLVD - STE 200 HAUPPAUGE, NY 11788 | RELIANCE STANDARD LIFE INSURANCE CO. | $317 | — | $317 | 5.00% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BLVD - STE 200 HAUPPAUGE, NY 11788 | SUN LIFE ASSURANCE COMPANY OF CANADA | $660 | — | $660 | 16.97% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HILDA SANCHEZ EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $140K |
| OPTIMUM TECHNOLGIES INC EIN 04-3283029 NONE | Other services; Other fees; Direct payment from the plan Service code 49 | — | $139K |
| LORRAINE LEVY EIN 23-7248562 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $138K |
| MAGNACARE ADMINSTRATIVE SVCS LLC EIN 11-3410766 NONE | Valuation (appraisals, etc.); Direct payment from the plan Service code 34 | — | $130K |
| FRANCA EUVINO EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $116K |
| RICHARD GALLO EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $110K |
| UNITED LABOR SYSTEMS NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 360 E PARK AVE LONG BEACH, NY 11561 | $109K |
| PRICILLA POVEDA GARCIA EIN 23-7248562 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $103K |
| RELIANCE TRUST COMPANY EIN 58-1428634 NONE | Custodial (securities); Investment management; Direct payment from the plan Service code 19 | — | $101K |
| ADAM HARRIS EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $99K |
| DAVID HARRIS EIN 23-7248562 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $93K |
| EVELYN DEJESUS GUTIERREZ EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $83K |
| FLORENCE SACINO EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $71K |
| BENECARD SERVICES, INC. EIN 22-2998772 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $69K |
| MIRANDA TYNER EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $63K |
| MARIA ORTIZ EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $56K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $50K |
| DR STEPHEN JAFFE NONE | Consulting fees; Direct payment from the plan Service code 50 | 16 LANCASTER RD TENAFLY, NJ 07670 | $42K |
| ERIC M. HARRIS, ESQ., P.C. NONE | Legal; Direct payment from the plan Service code 29 | 485 UNDERHILL BLVD, STE 203 SYOSSET, NY 11791 | $36K |
| NANCY BONSANTI EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $31K |
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $25K |
| HEALTHPLEX INC EIN 11-2714365 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $17K |
| BACK NINE CONSULTING, LLC NONE | Direct payment from the plan; Actuarial Service code 11 | 41 DUNBAR ROAD PALM BEACH GARDENS, FL 33418 | $13K |
| PNG CYBER, LLC NONE | Other services; Direct payment from the plan; Other fees Service code 49 | 1 SUGAR CREEK CENTER BLVD, STE 1100 SUGAR LAND, TX 77478 | $6K |
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 | 1,138 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE CO. | 929 | $110K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 13 | $4K |
| Other(2 contracts) | RELIANCE STANDARD LIFE INSURANCE CO. | 929 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 929 | — |
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.