| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NEWTEK INSURANCE AGENCY LLC3 | 1981 MARCUS AVE STE 130 LAKE SUCCESS, NY 11042 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $176K | $0 | $176K | 4.01% |
| DONALD C SAVOY INC NJ3 Filed as: DONALD C SAVOY, INC. NJ | 25B HANOVER RD. SUITE 220 FLORHAM PARK, NJ 07932 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | $88K | $88K | 2.00% |
| DONALD C SAVOY INC3 Filed as: DONALD C. SAVOY, INC. | 350 MOTOR PARKWAY SUITE 404 HAUPPAUGE, NY 11788 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $46K | $7K | $53K | 12.76% |
| NEWTEK INSURANCE AGENCY LLC3 Filed as: NEWTEK INSURANCE AGENCY | 1981 MARCUS AVE. SUITE 130 LAKE SUCCESS, NY 11042 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $2K | $0 | $2K | 9.31% |
| SAVOY ASSOCIATES3 | 25B HANOVER RD. SUITE 220 FLORHAM PARK, NJ 07932 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $0 | $1K | $1K | 5.00% |
| NEWTEK INSURANCE AGENCY LLC3 Filed as: NEWTEK INSURANCE AGENCY | 1981 MARCUS AVE. SUITE 130 LAKE SUCCESS, NY 11042 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $216 | $0 | $216 | 12.00% |
| SAVOY ASSOCIATES3 | 25B HANOVER RD. SUITE 220 FLORHAM PARK, NJ 07932 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $0 | $90 | $90 | 5.00% |
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 | 406 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 415 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 428 | $4.4M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 431 | $412K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 431 | $412K |
| Life insurance(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 433 | $434K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 431 | $412K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 431 | $412K |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 433 | $414K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 433 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.