| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRLESS BLVD 2ND FL HAUPPAUGE, NY 11788 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 4.28% |
| 28 INSURANCE AGENCY3 | 1490 DRAPER ST KINGSBURG, CA 93631 | STANDARD INSURANCE COMPANY | $1K | $443 | $2K | 7.21% |
| ALKEME INSURANCE SERVICES INC3 | 111 CORPORATE DR STE 200 LADERA RANCH, CA 92694 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 6.25% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRLESS BLVD 2ND FL HAUPPAUGE, NY 11788 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 4.67% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 669 RIVER DRIVE SUITE 305 ELMWOOD PARK, NJ 07407 | STANDARD INSURANCE COMPANY | $516 | — | $516 | 2.21% |
| 28 INSURANCE AGENCY3 | 1490 DRAPER ST KINGSBURG, CA 93631 | STANDARD INSURANCE COMPANY | $1K | $399 | $2K | 7.30% |
| ALKEME INSURANCE SERVICES INC3 | 111 CORPORATE DR STE 200 LADERA RANCH, CA 92694 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 6.16% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRLESS BLVD 2ND FL HAUPPAUGE, NY 11788 | STANDARD INSURANCE COMPANY | $970 | — | $970 | 4.61% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 669 RIVER DRIVE SUITE 305 ELMWOOD PARK, NJ 07407 | STANDARD INSURANCE COMPANY | $474 | — | $474 | 2.25% |
| ALKEME INSURANCE SERVICES INC3 | 111 CORPORATE DR STE 200 LADERA RANCH, CA 92694 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRLESS BLVD 2ND FL HAUPPAUGE, NY 11788 | STANDARD INSURANCE COMPANY | $343 | — | $343 | 2.65% |
| PAYLOCITY CORPORATION3 | RETURN TO HOME OFFICE PO BOX 711, C5 PORTLAND, OR 97207 | STANDARD INSURANCE COMPANY | $302 | — | $302 | 2.33% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 669 RIVER DRIVE SUITE 305 ELMWOOD PARK, NJ 07407 | STANDARD INSURANCE COMPANY | $186 | — | $186 | 1.43% |
| 28 INSURANCE AGENCY3 | 1490 DRAPER ST KINGSBURG, CA 93631 | STANDARD INSURANCE COMPANY | $32 | — | $32 | 0.25% |
| VENTURE PACIFIC INSURANCE SERVICES3 Filed as: VENTURE PACIFIC INS SERVICES INC | 111 CORPORATE DR STE 200 LADERA RANCH, CA 92694 | STANDARD INSURANCE COMPANY | $447 | — | $447 | 5.04% |
| 28 INSURANCE AGENCY3 | 1490 DRAPER ST KINGSBURG, CA 93631 | STANDARD INSURANCE COMPANY | $440 | — | $440 | 4.96% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRLESS BLVD 2ND FL HAUPPAUGE, NY 11788 | STANDARD INSURANCE COMPANY | $226 | — | $226 | 2.55% |
| 28 INSURANCE AGENCY3 | 1490 DRAPER ST KINGSBURG, CA 93631 | STANDARD INSURANCE COMPANY | $386 | $136 | $522 | 7.38% |
| ALKEME INSURANCE SERVICES INC3 | 111 CORPORATE DR STE 200 LADERA RANCH, CA 92694 | STANDARD INSURANCE COMPANY | $427 | — | $427 | 6.03% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRLESS BLVD 2ND FL HAUPPAUGE, NY 11788 | STANDARD INSURANCE COMPANY | $317 | — | $317 | 4.48% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 669 RIVER DRIVE SUITE 305 ELMWOOD PARK, NJ 07407 | STANDARD INSURANCE COMPANY | $162 | — | $162 | 2.29% |
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 | 96 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 9 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 109 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | STANDARD INSURANCE COMPANY | 83 | $59K |
| Vision | STANDARD INSURANCE COMPANY | 68 | $9K |
| Life insurance | STANDARD INSURANCE COMPANY | 96 | $23K |
| Short-term disability | STANDARD INSURANCE COMPANY | 28 | $7K |
| Long-term disability | STANDARD INSURANCE COMPANY | 96 | $21K |
| Other(2 contracts) | STANDARD INSURANCE COMPANY | 96 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 96 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.