| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SDF ASSOCIATES 1991 LTD3 Filed as: SDF ASSOCIATES, LTD | 571 MCDONALD AVE BROOKLYN, NY 11218 | HCC LIFE INSURANCE COMPANY | $15K | — | $15K | 10.00% |
| SDF ASSOCIATES 1991 LTD3 Filed as: SDF ASSOCIATES, LTD | 571 MCDONALD AVE BROOKLYN, NY 11218 | HCC LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TOTAL PLAN CONCEPTS EIN 45-4564412 THIRD PARTY ADMINISTRATOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | 571 MCDONALD AVE BROOKLYN, NY 11218 | $143K |
| SMITH RX PRESCRIPTION DRUG VENDOR | Other services Service code 49 | 300 BRANNAN ST SUITE 601 SAN FRANCISCO, CA 94107 | $21K |
| PERR & KNIGHT ACTUARY | Actuarial Service code 11 | 3 SECOND ST SUITE 1202 HARBORSIDE FINANCIAL CENTER PLAZA JERSEY CITY, NJ 07311 | $5K |
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 | 369 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 372 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance(2 contracts) | HCC LIFE INSURANCE COMPANY | 413 | $198K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 413 | — |
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.