| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1 CALIFORNIA ST STE 100 SAN FRANCISCO, CA 94111 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $47K | $47K | 2.38% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE SRVC(OH) | P. O. BOX 632886 CINCINNATI, OH 452632886 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $39K | $39K | 2.01% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC | 225 WIRELESS BLVD SUITE 200 HAUPPAUGE, NY 117880000 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $17K | $17K | 0.89% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 Filed as: EDGEWOOD PARTNERS | 350 HUDSON STREET 4TH FLOOR NEW YORK, NY 100140000 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $7K | $1K | $8K | 5.70% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC | 225 WIRELESS BLVD SUITE 200 HAUPPAUGE, NY 117880000 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | — | $3K | $3K | 2.07% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE BROKERS AND CONSULTA | 350 HUDSON ST 4TH FL NEW YORK, NY 10014 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $3K | — | $3K | 2.71% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE BROKERS AND CONSULTA | 350 HUDSON ST 4TH FL NEW YORK, NY 10014 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $8K | — | $8K | 7.97% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE | 3945 W ATLANTIC AVE DELRAY BEACH, FL 33445 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $2K | — | $2K | 1.52% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | — | $750 | $750 | 0.76% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE BROKERS AND CONSULTA | 350 HUDSON ST 4TH FL NEW YORK, NY 10014 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $3K | — | $3K | 8.13% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE | 3945 W ATLANTIC AVE DELRAY BEACH, FL 33445 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $454 | — | $454 | 1.40% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | — | $227 | $227 | 0.70% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS RD #800 CONCORD, CA 94520 | EYEMED | $2K | — | $2K | 8.66% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ WEEKES & CALLAWAY | PO BOX 632886 CINCINNATI, OH 45263 | EYEMED | $912 | — | $912 | 4.03% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1140 AVENUE OF THE AMERICAS, 8TH FL NEW YORK, NY 10036 | EYEMED | $538 | — | $538 | 2.38% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE BROKERS AND CONSULTA | 350 HUDSON ST 4TH FL NEW YORK, NY 10014 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $1K | — | $1K | 7.68% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE | 3945 W ATLANTIC AVE DELRAY BEACH, FL 33445 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $329 | — | $329 | 1.73% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | — | $165 | $165 | 0.87% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE BROKERS AND CONSULTA | 350 HUDSON ST 4TH FL NEW YORK, NY 10014 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $376 | — | $376 | 7.89% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE | 3945 W ATLANTIC AVE DELRAY BEACH, FL 33445 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $75 | — | $75 | 1.57% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | — | $38 | $38 | 0.80% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 CONTRACT ADMINISTRATOR | Plan Administrator; Contract Administrator Service code 13 | — | $78K |
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 | 151 | 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) | 151 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 205 | $2.0M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 178 | $143K |
| Vision | EYEMED | 300 | $23K |
| Life insurance | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | 187 | $19K |
| Short-term disability | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | 151 | $99K |
| Long-term disability | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | 151 | $32K |
| Other(2 contracts) | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | 187 | $123K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 300 | — |
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.