| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO EASTERN STATES INC | 116 HUNTINGTON AVE BOSTON, MA 02116 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $3K | $0 | $3K | 3.60% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY INC | 116 HUNTINGTON AVE BOSTON, MA 02116 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $10K | $0 | $10K | 15.00% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY INC | SUITE 300 30 WATERSIDE DR FARMINGTON, CT 060323069 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $3K | $3K | 4.98% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVE SUITE 1100 CHICAGO, IL 606036115 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $29 | $29 | 0.05% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY INC | 116 HUNTINGTON AVE BOSTON, MA 02116 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | 15.00% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY INC | SUITE 300 30 WATERSIDE DR FARMINGTON, CT 060323069 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 4.98% |
| AXA ASSISTANCE, USA5 Filed as: AXA ASSISTANCE USA | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $15 | $0 | $15 | 0.05% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY INC | 116 HUNTINGTON AVE BOSTON, MA 02116 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 15.00% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY INC | SUITE 300 30 WATERSIDE DR FARMINGTON, CT 060323069 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $709 | $709 | 4.98% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $6 | $6 | 0.04% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SEGAL COMPANY (NY) BROKER | Insurance agents and brokers Service code 22 | 116 HUNTINGTON AVENUE BOSTON, MA 02116 | $69K |
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 | 142 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 295 | $2.1M |
| Dental | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 138 | $92K |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 147 | $64K |
| Short-term disability | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 102 | $33K |
| Long-term disability | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 42 | $14K |
| Other(2 contracts, 2 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 147 | $64K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 295 | — |
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.