| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M3 INSURANCE SOLUTIONS INC3 Filed as: UBS FINANCIAL SVCS INSURNANCE | 1000 HARBOR BLVD FL 6 WEEHAWKEN, NJ 07086 | VOYA RETIREMENT INSURANCE AND ANNUITY CO. | $21K | — | $21K | — |
| BENEFIT SERVICES GROUP, INC.5 Filed as: BENEFIT SERVICES GROUP INC | 680 N LAKE SHORE DRIVE STE 2050 CHICAGO, IL 60611 | VOYA RETIREMENT INSURANCE AND ANNUITY CO. | — | $4K | $4K | — |
| MORGAN STANLEY INS SVCS, INC.3 Filed as: MORGAN STANLEY SMITH BARNEY | 1 NEW YORK PLZ FL 12 NEW YORK, NY 10004 | VOYA RETIREMENT INSURANCE AND ANNUITY CO. | $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 | 59 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 63 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(5 contracts, 5 carriers) | PACIFIC MUTUAL LIFE | 61 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 61 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.