| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH BENEFIT SOLUTIONS | 18940 N PIMA ROAD SCOTTSDALE, AZ 85255 | AETNA | $3K | — | $3K | 4.45% |
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH BENEFIT SOLUTIONS | 18940 N PIMA ROAD SCOTTSDALE, AZ 85255 | AETNA | $2K | — | $2K | 18.28% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLET GENERAL COMM. OF ADJUSTMENT EIN 11-2073596 RELATED ORGANIZATION | Direct payment from the plan Service code 50 | 330 MOTOR PARKWAY STE 307 HAUPPAUGE, NY 11788 | $90K |
| C A SMITH EIN 51-0247782 NONE | Direct payment from the plan; Employee (plan) Service code 30 | 330 MOTOR PKWY STE 307 HAUPPAUGE, NY 11788 | $64K |
| BROWN & BROWN NY DBA FITZHARRIS &CO EIN 58-1510477 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | 333 EARLE OVINGTON BLVD STE 215 UNIONDALE, NY 11553 | $36K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $28K |
| GOULD, KOBRICK & SCHLAPP, PC EIN 13-3082707 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 3 PARK AVENUE SUITE 1402 NEW YORK, NY 10016 | $24K |
| HOLM & OHARA, LLP EIN 13-3591118 NONE | Legal; Direct payment from the plan Service code 29 | 3 WEST 35TH STREET 9TH FLOOR NEW YORK, NY 10001 | $12K |
| SEGAL SELECT INSURANCE SERVICE, INC EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $3K |
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 | 461 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 92 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 553 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AARP UNITED HEALTHCARE | 123 | $143K |
| Life insurance(2 contracts, 2 carriers) | AETNA | 560 | $82K |
| Short-term disability | AETNA | 24 | $11K |
| Long-term disability | AETNA | 24 | $11K |
| Other | AETNA | 146 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 560 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.