No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 NONE | Other services; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing Service code 12 | — | $3.0M |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 PLAN ADMINISTRATOR | Contract Administrator Service code 13 | — | $229K |
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 |
|---|---|---|---|
| Health (medical) | AETNA INTERNATIONAL | 13 | $102K |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 5,827 | $2.2M |
| Short-term disability | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 223 | $13K |
| Long-term disability | STANDARD INSURANCE COMPANY | 6,007 | $780K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 5,784 | $1.5M |
| Other(4 contracts, 4 carriers) | AETNA INTERNATIONAL | 7,885 | $224K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,885 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.