| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| YORK INTERNATIONAL AGENCY LLC3 | 500 MAMARONECK AVE. STE 220 HARRISON, NY 10528 | AETNA LIFE INSURANCE COMPANY | $8K | — | $8K | 4.33% |
| YORK INTERNATIONAL AGENCY LLC3 Filed as: YORK INTERNATIONAL AG | 500 MAMARONECK AVE STE 220 HARRISON, NY 10528 | SUN LIFE AND HEALTH INSURANCE COMPANY | $5K | — | $5K | 3.60% |
| YORK INTERNATIONAL AGENCY LLC3 | 500 MAMARONECK AVE. STE 220 HARRISON, NY 10528 | SUN LIFE AND HEALTH INSURANCE COMPANY (US) | $3K | — | $3K | 8.87% |
| WILLIAM WHICHER3 | 11 KEENAN PL GARDEN CITY, NY 11530 | AFLAC | $531 | — | $531 | 9.63% |
| CHRISTOPHER TARI3 | 1179 WEBBER AVE SOUTH HEMPSTEAD, NY 11550 | AFLAC | $94 | — | $94 | 1.70% |
| PATRICK RUHLE3 | 200 GARDEN SITY PLZ STE 410 GARDEN CITY, NY 11530 | AFLAC | $26 | — | $26 | 0.47% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC EIN 36-4197088 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 18861 S 90TH AVE. STE A MOKENA, IL 60448 | $90K |
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 | 229 | 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) | 229 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMALGAMATED LIFE | 229 | $676K |
| Dental | AETNA LIFE INSURANCE COMPANY | 476 | $175K |
| Vision(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 778 | $197K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE AND HEALTH INSURANCE COMPANY | 296 | $167K |
| Long-term disability(2 contracts, 2 carriers) | SUN LIFE AND HEALTH INSURANCE COMPANY | 296 | $167K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE | 229 | $676K |
| Other(3 contracts, 3 carriers) | SUN LIFE AND HEALTH INSURANCE COMPANY | 296 | $172K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 778 | — |
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."
No prospect flags tripped on this filing.