| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT G RELPH AGENCY INC | 800 PARKER HILL DRIVE STE 100 ROCHESTER, NY 14625 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 7.59% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE | SERVICES LLC 2 ENTERPRISE DR STE 204 SHELTON, CT 06484 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | — | $8K | 6.34% |
| DAVID ROTH3 | 1415 E 34TH ST BROOKLYN, NY 11210 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 1.90% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT G RELPH AGENCY INC | 800 PARKER HILL DRIVE STE 100 ROCHESTER, NY 14625 | METROPOLITAN LIFE INSURANCE COMPANY | $689 | — | $689 | 16.32% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE | SERVICES LLC 2 ENTERPRISE DR STE 204 SHELTON, CT 06484 | METROPOLITAN LIFE INSURANCE COMPANY | $254 | — | $254 | 6.01% |
| DAVID ROTH3 | 1415 E 34TH STREET BROOKLYN, NY 11210 | METROPOLITAN LIFE INSURANCE COMPANY | $212 | — | $212 | 5.02% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT G RELPH AGENCY INC | 800 PARKER HILL DRIVE STE 100 ROCHESTER, NY 14625 | METROPOLITAN LIFE INSURANCE COMPANY | $569 | — | $569 | 13.63% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE | SERVICES LLC 2 ENTERPRISE DR STE 204 SHELTON, CT 06484 | METROPOLITAN LIFE INSURANCE COMPANY | $251 | — | $251 | 6.01% |
| DAVID ROTH3 | 1415 E 34TH ST BROOKLYN, NY 11210 | METROPOLITAN LIFE INSURANCE COMPANY | $185 | — | $185 | 4.43% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT G RELPH AGENCY INC | 800 PARKER HILL DRIVE STE 100 ROCHESTER, NY 14625 | SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION | $92 | — | $92 | 13.22% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE | SERVICES LLC 2 ENTERPRISE DR STE 204 SHELTON, CT 06484 | SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION | $46 | — | $46 | 6.61% |
| DAVID ROTH3 | 1415 E 34TH ST BROOKLYN, NY 11210 | SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION | $35 | — | $35 | 5.03% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT G RELPH AGENCY INC | 800 PARKER HILL DRIVE STE 100 ROCHESTER, NY 14625 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $26 | — | $26 | 13.33% |
| DAVID ROTH3 | 1415 E 34TH ST BROOKLYN, NY 11210 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $15 | — | $15 | 7.69% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE | SERVICES LLC 2 ENTERPRISE DR STE 204 SHELTON, CT 06484 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $13 | — | $13 | 6.67% |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 317 | $134K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 317 | $133K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 317 | $133K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 317 | $133K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 317 | $133K |
| Other(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 317 | $142K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 317 | — |
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."
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.