| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 669 RIVER DRIVE CENTER II-STE 305 ELMWOOD PARK, NJ 07407 | AETNA LIFE INSURANCE COMPANY | $22K | — | $22K | 1.30% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL STREET BOSTON, MA 02110 | AETNA LIFE INSURANCE COMPANY | $2K | — | $2K | 0.09% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE INC. | 160 FEDERAL ST, FL 4 BOSTON, MA 021108206 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $133 | $8K | 14.98% |
| SELMAN & COMPANY, LLC3 Filed as: SELMAN & COMPANY LLC | 1 INTEGRITY PARKWAY C/O GENERAL AGENCY CLEVELAND, OH 44143 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 2.02% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PARKWAY W BLDG 16, STE 320 BLUE BELL, PA 19422 | METROPOLITAN LIFE INSURANCE COMPANY | $859 | $218 | $1K | 1.94% |
| INSURANCE MARKETPLACE LLC3 | 11350 RANDOM HILLS ROAD - SUITE 863 FAIRFAX, VA 22030 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 20.96% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE INC. | 160 FEDERAL ST - FL 4 BOSTON, MA 02110 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 20.96% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W BLDG 16, STE 320 BLUE BELL, PA 19422 | METROPOLITAN LIFE INSURANCE COMPANY | $442 | $79 | $521 | 3.02% |
| SELMAN & COMPANY, LLC3 Filed as: SELMAN & COMPANY LLC | 1 INTEGRITY PKWY C/O GENERAL AGENCY CLEVELAND, OH 44143 | METROPOLITAN LIFE INSURANCE COMPANY | $324 | — | $324 | 1.88% |
| INSURANCE MARKETPLACE LLC3 | 11350 RANDOM HILLS ROAD - SUITE 863 FAIRFAX, VA 22030 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 23.27% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE INC BROKERAGE INC | 160 FEDERAL ST, FL 4 BOSTON, MA 02110 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 23.27% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W BLDG 16 SUITE 320 BLUE BELL, PA 19422 | METROPOLITAN LIFE INSURANCE COMPANY | $398 | $75 | $473 | 2.83% |
| SELMAN & COMPANY, LLC3 Filed as: SELMAN & COMPANY LLC | 1 INTEGRITY PKWY C/O GENERAL AGENCY CLEVELAND, OH 44143 | METROPOLITAN LIFE INSURANCE COMPANY | $316 | — | $316 | 1.89% |
| INSURANCE MARKETPLACE LLC3 | 11350 RANDOM HILLS RD -STE 863 FAIRFAX, VA 22030 | METROPOLITAN LIFE INSURANCE COMPANY | $909 | — | $909 | 12.51% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE INC. | 160 FEDERAL ST - FL 4 BOSTON, MA 02110 | METROPOLITAN LIFE INSURANCE COMPANY | $909 | — | $909 | 12.51% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W BLDG 16, STE 320 BLUE BELL, PA 19422 | METROPOLITAN LIFE INSURANCE COMPANY | $174 | $30 | $204 | 2.81% |
| SELMAN & COMPANY, LLC3 Filed as: SELMAN & COMPANY LLC | 1 INTEGRITY PKWY C/O GENERAL AGENCY CLEVELAND, OH 44143 | METROPOLITAN LIFE INSURANCE COMPANY | $104 | — | $104 | 1.43% |
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 | 165 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 166 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 262 | $1.7M |
| Dental | AETNA LIFE INSURANCE COMPANY | 262 | $1.7M |
| Vision | AETNA LIFE INSURANCE COMPANY | 262 | $1.7M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 165 | $56K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 165 | $56K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 165 | $56K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 262 | $1.7M |
| Other(4 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 165 | $97K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 262 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.