| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GA SOLUTIONS LLC3 | 311 CLOCK TOWER CMNS BREWSTER, NY 105094059 | PRINCIPAL LIFE INSURANCE COMPANY | — | $49K | $49K | 4.98% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 495011788 | PRINCIPAL LIFE INSURANCE COMPANY | — | $5K | $5K | 0.47% |
| GA SOLUTIONS LLC3 | 311 CLOCK TOWER CMNS BREWSTER, NY 105094059 | PRINCIPAL LIFE INSURANCE COMPANY | — | $31K | $31K | 5.00% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 495011788 | PRINCIPAL LIFE INSURANCE COMPANY | — | $3K | $3K | 0.49% |
| ACRISURE LLC3 Filed as: ACRISURE | FOUR GATEWAY CENTER 444 LIBERTY AVE SUITE 1900 PITTSBURGH, PA 152221222 | HM LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK EIN 23-1294723 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $5.7M |
| LABORERS COMBINED FUNDS OF W PA EIN 25-1333639 NONE | Direct payment from the plan; Plan Administrator Service code 14 | — | $2.0M |
| ROBECO INVESTMENT MANAGEMENT INC. EIN 98-0202744 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $817K |
| HIGHMARK CASUALTY INSURANCE EIN 25-1334623 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $606K |
| MONDRIAN INTERNATIONAL EQUITY FUND EIN 36-7205063 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $212K |
| BNY MELLON BANK EIN 13-5160382 NONE | Securities brokerage commissions and fees; Custodial (securities); Direct payment from the plan Service code 19 | — | $119K |
| CS MCKEE EIN 25-1900687 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $116K |
| CHARTWELL INVESTMENT PARTNERS EIN 36-4776242 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $114K |
| GOEHRING RUTTER & BOEHM EIN 25-1291135 NONE | Legal; Direct payment from the plan Service code 29 | — | $81K |
| HOWARD GROSSINGER ESQUIRE EIN 25-1266288 NONE | Legal; Direct payment from the plan Service code 29 | — | $66K |
| ACRISURE LLC EIN 26-3554645 NONE | Direct payment from the plan; Legal Service code 29 | — | $37K |
| ACRISURE, LLC (BECKERMAN & COMPANY) EIN 92-3652116 NONE | Direct payment from the plan; Insurance brokerage commissions and fees Service code 50 | — | $31K |
| MORGAN STANLEY SMITH BARNEY LLC EIN 11-3658445 NONE | Other investment fees and expenses; Investment advisory (plan); Direct payment from the plan Service code 27 | — | $30K |
| SISTERSON & CO LLP EIN 25-1467156 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $28K |
| FIRST AMERICAN ADMINISTRATORS INC EIN 86-0773195 NONE | Claims processing; Insurance services Service code 12 | — | $21K |
| WODARCZYK & ASSOCIATES, LLC EIN 46-1702961 NONE | Legal; Direct payment from the plan Service code 29 | — | $20K |
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 | 5,257 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 345 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,605 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 11,348 | $334K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 19,456 | $982K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 5,253 | $626K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 5,582 | $609K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 19,456 | — |
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.