| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| F. JAMES GINNANE3 | 300 CORPORATE PARKWAY, SUITE 210N AMHERST, NY 14226 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $158 | — | $158 | 0.53% |
| JOSEPH P. MICHAEL3 | 100 CORPORATE PKWY, SUITE 3 AMHERST, NY 14226 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $16 | — | $16 | 0.05% |
| THOMAS R. ZUGGER3 | 37 FRANKLIN STREET, SUITE 600 BUFFALO, NY 14202 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PRINCIPAL LIFE INSURANCE COMPANY EIN 42-0127290 CONTRACT ADMINISTRATOR | Recordkeeping fees; Direct payment from the plan; Contract Administrator; Participant loan processing Service code 13 | 711 HIGH STREET DES MOINES, IA 50392 | $100K |
| SCHNEIDER DOWNS & CO., INC. EIN 25-1408703 PLAN AUDITOR | Accounting (including auditing) Service code 10 | ONE PPG PLACE, SUITE 1700 PITTSBURGH, PA 15222 | $11K |
| GALLAGHER FIDUCIARY ADVISORS EIN 36-4291971 CONSULTANT | Other fees; Consulting (general) Service code 16 | — | $0 |
| WILSHIRE ASSOCIATES INCORPORATED EIN 95-2755361 INVESTMENT ADVISOR | Other investment fees and expenses; Investment advisory (plan) Service code 27 | — | $0 |
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 | 731 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 131 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 3 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 868 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | 120 | $30K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 120 | — |
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.