| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M&T INSURANCE AGENCY INC Filed as: M&T INSURANCE AGENCY, INC. | 285 DELAWARE AVE., STE 4000 BUFFALO, NY 14202 | BLUE CROSS BLUE SHIELD OF WNY | $33K | $14K | $47K | 3.40% |
| M&T INSURANCE AGENCY INC Filed as: M&T INSURANCE AGENCY, INC. | 285 DELAWARE AVE., STE. 4000 BUFFALO, NY 14202 | FIRST UN8UM LIFE INSURANCE COMPANY | $9K | $1K | $10K | 15.62% |
| M&T INSURANCE AGENCY INC Filed as: M&T INSURANCE AGENCY, INC. | 285 DELAWARE AVE., STE. 4000 BUFFALO, NY 14202 | FIRST UNUM LIFE INSURANCE COMPANY | $4K | $1K | $5K | 9.17% |
| M&T INSURANCE AGENCY INC Filed as: M&T INSURANCE AGENCY, INC. | 285 DELAWARE AVE., STE. 4000 BUFFALO, NY 14202 | FIRST UNUM LIFE INSURANCE CARRIER | $4K | $728 | $5K | 10.69% |
| M&T INSURANCE AGENCY INC Filed as: M&T INSURANCE AGENCY, INC. | 285 DELAWARE AVE., STE. 4000 BUFFALO, NY 14202 | FIRST UNUM LIFE INSURANCE COMPANY | $3K | — | $3K | 7.95% |
| SMITH, THOMAS, CHRISTOPHER | PO BOX 6650 METAIRE, LA 70009 | FIRST UNUM LIFE INSURANCE COMPANY | $2K | $260 | $3K | 7.81% |
| M&T INSURANCE AGENCY INC Filed as: M&T INSURANCE AGENCY | 285 DELAWARE AVE., STE. 4000 BUFFALO, NY 14202 | EASTERN VISION SERVICE PLAN, INC. | $0 | — | $0 | 0.00% |
| M&T INSURANCE AGENCY INC Filed as: M&T INSURANCE AGENCY, INC. | 285 DELAWARE AVE. BUFFALO, NY 14202 | BLUE CROSS BLUE SHIELD OF WESTERN NEW YORK | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PRO BENEFITS ADMINISTRATORS EIN 16-1514371 THIRD PARTY ADMINISTRATOR | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 100 CORPORATE PKWY., SUITE 334 AMHERST, NY 14226 | $10K |
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 | 321 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 325 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF WNY | 321 | $1.4M |
| Vision | EASTERN VISION SERVICE PLAN, INC. | 188 | $17K |
| Life insurance | FIRST UNUM LIFE INSURANCE CARRIER | 284 | $45K |
| Short-term disability | FIRST UNUM LIFE INSURANCE COMPANY | 976 | $60K |
| Long-term disability | FIRST UNUM LIFE INSURANCE CARRIER | 284 | $45K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF WESTERN NEW YORK | 321 | $0 |
| Other(4 contracts, 4 carriers) | BLUE CROSS BLUE SHIELD OF WNY | 321 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 976 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.