| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CBIZ BENEFITS & INSURANCE SERVICES3 | PO BOX 632886 CINCINNATI, OH 45263 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $46K | $87K | $134K | 6.14% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT RESOURCES LLC | 3 BETHESDA METRO CENTER SUITE 460 BETHESDA, MD 20814 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $3K | — | $3K | 0.14% |
| MDG ASSOCIATES OF CONNECTICUT3 Filed as: MDG BENEFIT SOLUTIONS LLC | 34 E INDUSTRIAL ROAD SUITE 5 BRANFORD, CT 06405 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $3K | — | $3K | 0.14% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | PO BOX 632886 CINCINNATI, OH 45263 | SUN LIFE ASSURANCE COMPANY OF CANADA | $90K | — | $90K | 9.17% |
| MDG ASSOCIATES OF CONNECTICUT3 Filed as: MDG BENEFIT SOLUTIONS LLC | 34 E INDUSTRIAL ROAD SUITE 5 BRANFORD, CT 06405 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | — | $8K | 0.83% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT RESOURCES | 3 BETHESDA METRO CENTER SUITE 460 BETHESDA, MD 20814 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | — | $8K | 0.83% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TX HWY AUSTIN, TX 78746 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $2K | $2K | 0.18% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | 160 W SANTA CLARA SUITE 450 SAN JOSE, CA 95113 | KAISER FOUNDATION HEALTH PLAN INC | $26K | — | $26K | 3.07% |
| MATTHEW LIBBY3 | 34 E INDUSTRIAL ROAD SUITE 5 BRANFORD, CT 06405 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 0.20% |
| GARY M SUDHALTER3 | 7201 WISCONSIN AVE SUITE 705 BETHESDA, MD 20814 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 0.20% |
| MDG ASSOCIATES OF CONNECTICUT3 Filed as: MDG BENEFIT SOLUTIONS LLC | 34 E INDUSTRIAL ROAD SUITE 5 BRANFORD, CT 06405 | VISION SERVICE PLAN | $12K | — | $12K | 8.89% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | PO BOX 632886 CINCINNATI, OH 45263 | VISION SERVICE PLAN | $6K | — | $6K | 4.55% |
| GARY M SUDHALTER3 Filed as: GARY SUDHALTER | 3 BETHESDA METRO CENTER SUITE 460 BETHESDA, MD 20814 | VISION SERVICE PLAN | $591 | — | $591 | 0.45% |
| MCGRIFF INSURANCE SERVICES INC3 | 7711 BONHOMME AVE SUITE 900 ST LOUIS, MO 63105 | VISION SERVICE PLAN | $73 | — | $73 | 0.06% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | PO BOX 632886 CINCINNATI, OH 45263 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $16K | — | $16K | 13.67% |
| MATTHEW D LIBBY3 | 34 E INDUSTRIAL ROAD SUITE 5 BRANFORD, CT 06405 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 1.33% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TX HWY AUSTIN, TX 78746 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $321 | $321 | 0.28% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | PO BOX 632886 CINCINNATI, OH 45263 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $14K | — | $14K | 13.49% |
| MATTHEW D LIBBY3 | 34 E INDUSTRIAL ROAD SUITE 5 BRANFORD, CT 06405 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $808 | — | $808 | 0.76% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT RESOUCES | 3 BETHESDA METRO CENTER SUITE 460 BETHESDA, MD 20814 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $808 | — | $808 | 0.76% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TX HWY AUSTIN, TX 78746 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $241 | $241 | 0.23% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | 160 W SANTA CLARA SUITE 450 SAN JOSE, CA 95113 | KAISER FOUNDATION HEALTH PLAN INC | $3K | — | $3K | 3.07% |
| MATTHEW LIBBY3 | 34 E INDUSTRIAL ROAD SUITE 5 BRANFORD, CT 06405 | KAISER FOUNDATION HEALTH PLAN INC | $134 | — | $134 | 0.15% |
| GARY M SUDHALTER3 | 7201 WISCONSIN AVE SUITE 705 BETHESDA, MD 20814 | KAISER FOUNDATION HEALTH PLAN INC | $134 | — | $134 | 0.15% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFIT & INSURANCE SERVICES | PO BOX 632886 CINCINNATI, OH 45263 | AETNA LIFE INSURANCE COMPANY | $5K | — | $5K | 9.69% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 3 BETHESDA METRO CENTER SUITE 460 BETHESDA, MD 20814 | AETNA LIFE INSURANCE COMPANY | $70 | -$103 | -$33 | -0.07% |
| MDG ASSOCIATES OF CONNECTICUT3 Filed as: MDG BENEFIT SOLUTIONS LLC | 34 E INDUSTRIAL ROAD SUITE 5 BRANFORD, CT 06405 | AETNA LIFE INSURANCE COMPANY | $70 | -$21K | -$21K | -44.92% |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2,007 | $3.2M |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2,007 | $2.2M |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 906 | $177K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 933 | $980K |
| Short-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 933 | $1.1M |
| Long-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 933 | $1.1M |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2,007 | $2.2M |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 933 | $980K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,007 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.