| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BURNHAM FINANCIAL SERVICES, LLC3 | 2038 SARANAC AVE. LAKE PLACID, NY 129461177 | HARTFORD LIFE & ACCIDENT INSURANCE COMPANY | $33K | — | $33K | 6.19% |
| BURNHAM FINANCIAL SERVICES, LLC3 | 2038 SARANAC AVE. LAKE PLACID, NY 129461177 | EXPRESS SCRIPTS, INC. | $9K | — | $9K | 1.76% |
| BURNHAM FINANCIAL SERVICES, LLC3 | 2038 SARANAC AVE. LAKE PLACID, NY 129461177 | STANDARD INSURANCE COMPANY | $14K | — | $14K | 9.30% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | 2038 SARANAC AVE LAKE PLACID, NY 12946 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 3.75% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | 2038 SARANAC AVE LAKE PLACID, NY 12946 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $289 | $289 | 0.69% |
| BURNHAM FINANCIAL SERVICES, LLC3 | 2038 SARANAC AVE. LAKE PLACID, NY 12946 | EXCELLUS BCBS | $51K | — | $51K | — |
| BURNHAM FINANCIAL SERVICES, LLC3 | 2038 SARANAC AVE LAKE PLACID, NY 12946 | SUNLIFE ASSURANCE COMPANY OF CANADA | $4K | — | $4K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CBIZ RETIREMENT PLAN SERVICES EIN 31-1582098 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $68K |
| EXCELLUS BLUE CROSS BLUE SHIELD EIN 15-0329043 NONE | Claims processing Service code 12 | — | $51K |
| BENEFIT TRUST COMPANY EIN 43-1971558 NONE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $14K |
| CBIZ INVESTMENT ADVISORY SERVICES EIN 81-3968784 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $12K |
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 | 216 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 216 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 34 | $42K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 34 | $42K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE & ACCIDENT INSURANCE COMPANY | 216 | $679K |
| Prescription drug | EXPRESS SCRIPTS, INC. | 183 | $513K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | EXCELLUS BCBS | 82 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 216 | — |
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.