| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL BURACK3 Filed as: MICHAEL VILLANO | 734 WALT WHITMAN RD, SUITE 207 A MELVILLE, NY 11747 | EMBLEM HEALTH | $90K | — | $90K | 5.02% |
| MICHAEL BURACK3 Filed as: MICHAEL VILLANO JR. | 734 WALT WHITMAN DR, SUITE 207 A MELVILLE, NY 11747 | HEALTHPLEX INSURANCE COMPANY | $32K | — | $32K | 10.03% |
| MICHAEL BURACK3 Filed as: MICHAEL VILLANO JR. | 734 WALT WHITMAN RD, SUITE 207 A MELVILLE, NY 11747 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $3K | — | $3K | 6.49% |
| MICHAEL BURACK3 Filed as: MICHAEL VILLANO JR. | 734 WALT WHITMAN RD, SUITE 207 A MELVILLE, NY 11747 | HEALTHPLEX INSURANCE COMPANY | $4K | — | $4K | 9.96% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAGNACARE ADMINISTRATIVE SERVICES EIN 11-3410766 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.8M |
| CHRISTINE BENCI EIN 51-6112573 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $88K |
| CHRISTINA MADERICH EIN 51-6112573 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $41K |
| KLEIN, ZELMAN, ROTHERMEL EIN 13-2998136 NONE | Legal; Direct payment from the plan Service code 29 | — | $35K |
| O'SULLIVAN ASSOCIATES EIN 20-8199367 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $28K |
| CALIBRE CPA GROUP PLLC EIN 47-0900880 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $28K |
| CARY KANE, LLP EIN 20-1942442 LEGAL COUNSEL | Legal; Direct payment from the plan Service code 29 | — | $25K |
| UBS FINANCIAL SERVICES EIN 13-2638166 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $22K |
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 | 647 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 661 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EMBLEM HEALTH | 633 | $1.8M |
| Dental(2 contracts) | HEALTHPLEX INSURANCE COMPANY | 595 | $356K |
| Vision | HM LIFE INSURANCE COMPANY | 1,661 | $55K |
| Life insurance | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 654 | $41K |
| Prescription drug | EMBLEM HEALTH | 633 | $1.8M |
| Other | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 654 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,661 | — |
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.