| 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. | $3K | — | $3K | 5.00% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BLVD - STE 200 HAUPPAUGE, NY 11788 | RELIANCE STANDARD LIFE INSURANCE CO. | $241 | — | $241 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THOMAS CAULA EIN 23-7248562 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $208K |
| OPTIMUM TECHNOLGIES INC EIN 04-3283029 NONE | Direct payment from the plan Service code 50 | — | $134K |
| LORRAINE LEVY EIN 23-7248562 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $121K |
| HILDA SANCHEZ EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $120K |
| FRAN EUVINO EIN 23-7248562 EMPLOYEE | Direct payment from the plan Service code 50 | — | $97K |
| RELIANCE TRUST COMPANY EIN 58-1428634 NONE | Custodial (securities); Other services Service code 19 | — | $91K |
| APPLIED BUSINESS SYSTEMS INC. EIN 22-2875533 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $86K |
| EVAN GREENBERG EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $84K |
| PRICILLA POVEDA GARCIA EIN 23-7248562 EMPLOYEE | Direct payment from the plan Service code 50 | — | $80K |
| DAVID HARRIS EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $74K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $67K |
| FLORENCE SACINO EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $64K |
| BENECARD SERVICES, INC. EIN 22-2998772 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $62K |
| EVELYN DEJESUS GUTIERREZ EIN 23-7248562 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $61K |
| RICHARD GALLO EIN 23-7248562 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $57K |
| MAGNACARE ADMINSTRATIVE SVCS LLC EIN 11-3410766 NONE | Direct payment from the plan; Valuation (appraisals, etc.) Service code 34 | — | $54K |
| EDWARD B. GOLDSTEIN, M.D. NONE | Direct payment from the plan; Consulting (general) Service code 16 | 49 MURIEL AVENUE LAWRENCE, NY 11559 | $43K |
| MARIA ORTIZ EIN 23-7248562 EMPLOYEE | Direct payment from the plan Service code 50 | — | $41K |
| ADAM S. HARRIS, P.C. NONE | Legal; Direct payment from the plan Service code 29 | 485 UNDERHILL BLVD SUITE 203 SYOSSET, NY 11791 | $37K |
| HEALTHPLEX INC EIN 11-2714365 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $35K |
| CAITLEIN SANCHEZ EIN 23-7248562 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $29K |
| STARR, GERN, DAVISON & RUBIN P.C. EIN 22-3241223 NONE | Legal; Direct payment from the plan Service code 29 | — | $16K |
| ALAN T NAHOUM INC NONE | Actuarial; Direct payment from the plan Service code 11 | 41 DUNBAR ROAD PALM BEACH GARDENS, FL 33418 | $11K |
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 | 846 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 848 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | RELIANCE STANDARD LIFE INSURANCE CO. | 1,041 | $60K |
| Other | RELIANCE STANDARD LIFE INSURANCE CO. | 1,041 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,041 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.