| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUCK GLOBAL LLC3 | PO BOX 207640 DALLAS, TX 75320 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $1K | — | $1K | 0.18% |
| BUCK GLOBAL LLC3 | 500 PLAZA DR SECAUCUS, NJ 07096 | CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC. | $33K | — | $33K | 4.50% |
| ASSUREDPARTNERS7 Filed as: ASSURED PARTNERS NEW ENGL | ONE FINANCIAL PLAZA 755 MAIN STREET - 2ND FLR HARTFORD, CT 06103 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $1K | $0 | $1K | 15.00% |
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 | 105 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 76 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 181 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 133 | $1.5M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 183 | $83K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 133 | $787K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 252 | $158K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 252 | $158K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 252 | $158K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 252 | $165K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 252 | — |
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.