| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSHALL & STERLING EMPLOYEE BENEFI3 Filed as: MARSHALL AND STERLING INC | 110 MAIN STREET POUGHKEEPSIE, NY 12601 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $3K | — | $3K | 6.54% |
| FNA INSURANCE SERVICES INC3 | 1000 WOODBURY RD 4TH FL, STE 403 WOODBURY, NY 11797 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $0 | $2K | $2K | 5.00% |
| ROSE & KIERNAN INC3 Filed as: ROSE & KIERNAN, INC. | 99 TROY ROAD EAST GREENBUSH, NY 12061 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $312 | — | $312 | 0.75% |
| MARSHALL & STERLING EMPLOYEE BENEFI3 Filed as: MARSHALL AND STERLING INC | 110 MAIN STREET POUGHKEEPSIE, NY 12601 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $3K | — | $3K | 9.55% |
| FNA INSURANCE SERVICES INC3 | 1000 WOODBURY RD 4TH FLOOR, STE 403 WOODBURY, NY 11797 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $0 | $2K | $2K | 5.00% |
| ROSE & KIERNAN INC3 Filed as: ROSE & KIERNAN, INC. | 99 TROY ROAD EAST GREENBUSH, NY 12061 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $366 | — | $366 | 1.02% |
| MARSHALL & STERLING EMPLOYEE BENEFI3 Filed as: MARSHALL & STERLING INC. | 110 MAIN STREET POUGHKEEPSIE, NY 12601 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $8K | $564 | $9K | 34.59% |
| MARSHALL & STERLING EMPLOYEE BENEFI3 Filed as: MARSHALL & STERLING INC. | 110 MAIN STREET POUGHKEEPSIE, NY 12601 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $2K | — | $2K | 8.75% |
| FNA INSURANCE SERVICES INC3 Filed as: FNA INSURANCE SERVICES INC. | 1000 WOODBURY RD 4TH FLOOR, STE 403 WOODBURY, NY 11797 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $0 | $974 | $974 | 5.00% |
| ROSE & KIERNAN INC3 Filed as: ROSE & KIERNAN, INC. | 99 TROY ROAD EAST GREENBUSH, NY 12061 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $159 | — | $159 | 0.82% |
| MARSHALL & STERLING EMPLOYEE BENEFI3 Filed as: MARSHALL & STERLING INC. | 110 MAIN STREET POUGHKEEPSIE, NY 12601 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $525 | — | $525 | 10.76% |
| FNA INSURANCE SERVICES INC3 Filed as: FNA INSURANCE SERVICES INC. | 1000 WOODBURY RD 4TH FLOOR, STE 403 WOODBURY, NY 11797 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $0 | $244 | $244 | 5.00% |
| ROSE & KIERNAN INC3 Filed as: ROSE 7 KIERNAN, INC. | 99 TROY ROAD EAST GREENBUSH, NY 12061 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $60 | — | $60 | 1.23% |
| MARSHALL & STERLING EMPLOYEE BENEFI3 Filed as: MARSHALL & STERLING, INC. | 110 MAIN STREET POUGHKEEPSIE, NY 12601 | BLUESHIELD OF NORTHEASTERN NEW YORK | $47K | — | $47K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPIRE HEALTHCHOICE ASSURANCE EIN 23-7391136 ADMINISTRATOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Contract Administrator; Float revenue Service code 12 | — | $21K |
| MARSHALL & STERLING INC EIN 23-7391136 BROKER | Insurance agents and brokers; Other commissions; Non-monetary compensation Service code 22 | — | $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 | 317 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 317 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 535 | $25K |
| Dental | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 439 | $25K |
| Vision | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 439 | $25K |
| Life insurance | CIGNA LIFE INSURANCE CO. OF NEW YORK | 324 | $19K |
| Short-term disability | CIGNA LIFE INSURANCE CO. OF NEW YORK | 158 | $41K |
| Long-term disability | CIGNA LIFE INSURANCE CO. OF NEW YORK | 156 | $36K |
| Other | CIGNA LIFE INSURANCE CO. OF NEW YORK | 327 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 535 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.