| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST INC | 200 LIBERTY ST FL 6 NEW YORK, NY 102810001 | UNITEDHEALTHCARE INSURANCE COMPANY | $59K | $0 | $59K | 3.75% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST | 200 LIBERTY ST FL 6 1 WORLD FINANCIAL CENTER NEW YORK, NY 102810001 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $1K | $4K | 5.15% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $979 | $979 | 1.24% |
| LIAZON BENEFITS INC7 Filed as: LIAZON CORPORATION | 199 SCOTT ST STE 800 BUFFALO, NY 14204 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | -$5 | $1K | $1K | 2.71% |
| WILLIS TOWERS WATSON US LLC7 Filed as: WILLIS TOWERS WATSON NORTHEAST | PO BOX 4557 NEW YORK, NY 10249 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | $0 | $741 | $741 | 1.74% |
| WILLIS TOWERS WATSON US LLC7 Filed as: WILLIS TOWERS WATSON NORTHEAST | PO BOX 4557 NEW YORK, NY 10249 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | $0 | $456 | $456 | 1.49% |
| LIAZON BENEFITS INC7 Filed as: LIAZON CORP | 199 SCOTT ST STE 800 BUFFALO, NY 14204 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | -$38 | $512 | $474 | 2.99% |
| WILLIS TOWERS WATSON US LLC7 Filed as: WILLIS TOWERS WATSON NORTHEAST | PO BOX 4557 NEW YORK, NY 10249 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | $0 | $178 | $178 | 1.12% |
| LIAZON BENEFITS INC7 Filed as: LIAZON CORP | 199 SCOTT ST STE 800 BUFFALO, NY 14204 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | $0 | $63 | $63 | 2.71% |
| WILLIS TOWERS WATSON US LLC7 Filed as: WILLIS TOWERS WATSON NORTHEAST | PO BOX 4557 NEW YORK, NY 10249 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | $0 | $42 | $42 | 1.81% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 165 BROADWAY STE 3201 NEW YORK, NY 10006 | FEDERAL INSURANCE COMPANY | $0 | $0 | $0 | — |
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 | 60 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 853 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 913 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 132 | $1.6M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 78 | $79K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 78 | $79K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 853 | $206K |
| Short-term disability | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | 57 | $31K |
| Long-term disability(2 contracts) | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | 60 | $16K |
| Other(2 contracts, 2 carriers) | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | 60 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 853 | — |
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."
No prospect flags tripped on this filing.