| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSHALL & STERLING EMPLOYEE BENEFI3 Filed as: MARSHALL & STERLING INC | 110 MAIN STREET POUGHKEEPSIE, NY 12601 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $33K | — | $33K | 15.00% |
| MARSHALL & STERLING EMPLOYEE BENEFI3 Filed as: MARSHALL & STERLING INC. | 1336 BELTJEN ROAD ST. THOMAS, VI 00802 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO. EIN 59-1031071 ADMINISTRATOR | Named fiduciary; Contract Administrator; Direct payment from the plan; Claims processing; Non-monetary compensation; Other services; Float revenue; Participant communication Service code 12 | 280 TRUMBULL STREET HARTFORD, CT 06152 | $338K |
| MARSHALL & STERLING ST.THOMAS INC. BROKER | Insurance agents and brokers Service code 22 | 1336 BELTJEN RD. SUITE 300 SAINT THOMAS, VI 00802 | $73K |
| PRUDENTIAL INSURANCE CO OF AMERICA EIN 22-1211670 ADMINISTRATOR | Other services Service code 49 | 7338 FRANKFORD AVENUE PHILADELPHIA, PA 19176 | $1K |
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 | 393 | 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) | 393 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 148 | $22K |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 293 | $220K |
| Short-term disability | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 293 | $220K |
| Long-term disability | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 293 | $220K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 393 | $260K |
| Other | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 293 | $220K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 393 | — |
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.