| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| C. T. HELLMUTH & ASSOCIATES, INC.3 | 8401 CONNECTICUT AVENUE CHEVY CHASE, MD 20815 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $2K | — | $2K | 0.10% |
| EVAN SCOTT PORTNOY3 Filed as: EVAN S PORTNOY RAMPORT BENEFIT | 1983 MARCUS AVENUE SUITE C LAKE SUCCESS, NY 11042 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $1K | $1K | 0.18% |
| EVAN SCOTT PORTNOY3 Filed as: EVAN S PORTNOY RAMPORT BENEFIT | 1983 MARCUS AVENUE SUITE C LAKE SUCCESS, NY 11042 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $361 | $361 | 0.06% |
| EVAN SCOTT PORTNOY3 Filed as: EVAN S PORTNOY RAMPORT BENEFIT | 1983 MARCUS AVENUE SUITE C LAKE SUCCESS, NY 11042 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $811 | $811 | 0.18% |
| EVAN SCOTT PORTNOY3 Filed as: EVAN S PORTNOY RAMPORT BENEFIT | 1983 MARCUS AVENUE SUITE C LAKE SUCCESS, NY 11042 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $618 | $618 | 0.14% |
| EVAN SCOTT PORTNOY3 Filed as: EVAN S PORTNOY RAMPORT BENEFIT | 1983 MARCUS AVENUE SUITE 1200 LAKE SUCCESS, NY 11042 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $610 | $610 | 0.34% |
| EVAN SCOTT PORTNOY3 Filed as: EVAN S PORTNOY RAMPORT BENEFIT | 1983 MARCUS AVENUE SUITE C LAKE SUCCESS, NY 11042 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $339 | $339 | 0.19% |
| EVAN SCOTT PORTNOY3 Filed as: EVAN S PORTNOY RAMPART BENEFIT PLAN | 1983 MARCUS AVENUE SUITE C LAKE SUCCESS, NY 11042 | LIFE INSURANCE COMPANY OF AMERICA | — | $230 | $230 | 0.16% |
| EVAN SCOTT PORTNOY3 Filed as: EVAN S PORTNOY RAMPART BENEFIT PLAN | 1983 MARCUS AVENUE SUITE C LAKE SUCCESS, NY 11042 | LIFE INSURANCE COMPANY OF AMERICA | — | $81 | $81 | 0.06% |
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 | 2,217 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 23 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 26 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,266 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 6,244 | $1.5M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,652 | $640K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,652 | $177K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,652 | $448K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 6,244 | $1.5M |
| Other(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,652 | $780K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,244 | — |
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.