| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NAMELY EMPLOYEE BENEFITS, LLC3 | 195 BROADWAY, 15TH FLOOR NEW YORK, NY 10007 | UNITEDHEALTHCARE INSURANCE COMPANY | $69K | $0 | $69K | 4.13% |
| PROFFESSIONAL GROUP PLANS INC3 Filed as: PROFFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BOULEVARD, SUITE 200 HAUPPAUGE, NY 11788 | UNITEDHEALTHCARE INSURANCE COMPANY | $28K | $4K | $32K | 1.94% |
| STEVEN A TESSLER3 Filed as: STEVEN A. TESSLER | 489 FIFTH AVENUE, 2ND FLOOR NEW YORK, NY 10017 | UNITEDHEALTHCARE INSURANCE COMPANY | $9K | $0 | $9K | 0.57% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CALIFORNIA, INC. | 801 SOUTH FIGUEROA STREET SUITE 700 LOS ANGELES, CA 90017 | UNITEDHEALTHCARE INSURANCE COMPANY | -$3 | $0 | -$3 | -0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF LA, INC. | 4250 EXECUTIVE SQUARE, 9TH FLOOR LA JOLLA, CA 92037 | DELAWARE AMERICAN LIFE INSURANCE COMPANY | $19K | $0 | $19K | 9.48% |
| NAMELY EMPLOYEE BENEFITS, LLC3 Filed as: NAMELY, INC. | 195 BROADWAY, 15TH FLOOR NEW YORK, NY 10007 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | 10.48% |
| STEVEN A TESSLER3 Filed as: STEVEN TESSLER | 489 FIFTH AVENUE NEW YORK, NY 10017 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $374 | $0 | $374 | 0.73% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BOULEVARD, 2ND FLOOR HAUPPAUGE, NY 11788 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $125 | $0 | $125 | 0.24% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE, SUITE 11 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $39 | $39 | 0.08% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 297 | $1.9M |
| Dental(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 297 | $1.9M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 297 | $1.7M |
| Life insurance(2 contracts, 2 carriers) | DELAWARE AMERICAN LIFE INSURANCE COMPANY | 111 | $247K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 111 | $51K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 297 | $1.7M |
| Other(2 contracts, 2 carriers) | DELAWARE AMERICAN LIFE INSURANCE COMPANY | 111 | $247K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 297 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.