| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HERBERT L. JAMISON & CO. LLC3 Filed as: HERBERT L. JAMISON & COMPANY | 123 MAIN ST FL 14 WHITE PLAINS, NY 10601 | OXFORD HEALTH INSURANCE, INC. | $40K | — | $40K | 2.57% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS NORTHEAST LLC | 445 HAMILTON AVE FL 10 WHITE PLAINS, NY 106011831 | OXFORD HEALTH INSURANCE, INC. | $25K | — | $25K | 1.57% |
| HERBERT L. JAMISON & CO. LLC3 Filed as: HERBERT L. JAMISON & CO LLC | 123 MAIN STREET, FL 14 WHITE PLAINS, NY 10601 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 4.63% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS NORTHEAST LLC | 445 HAMILTON AVE FL 10 WHITE PLAINS, NY 106011831 | UNITEDHEALTHCARE INSURANCE COMPANY | $765 | — | $765 | 1.29% |
| HERBERT L. JAMISON & CO. LLC3 Filed as: HERBERT L JAMISON & CO. LLC | 123 MAIN STREET FL 14 WHITE PLAINS, NY 10601 | UNITEDHEALTHCARE INSURANCE COMPANY | $774 | — | $774 | 8.08% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS NORTHEAST LLC | 445 HAMILTON AVE FL 10 WHITE PLAINS, NY 106011831 | UNITEDHEALTHCARE INSURANCE COMPANY | $581 | — | $581 | 6.06% |
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 | 230 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 230 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | OXFORD HEALTH INSURANCE, INC. | 230 | $1.6M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 130 | $59K |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 188 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 230 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.