| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SDF ASSOCIATES 1991 LTD3 | 571 MCDONALD AVE BROOKLYN, NY 11218 | SUN LIFE AND HEALTH INSURANCE COMPANY | $80K | $12K | $92K | 12.51% |
| CENTERSTONE INSURANCE AND FINANCIAL3 | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $22K | $3K | $25K | 14.47% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TOTAL PLAN CONCEPTS EIN 45-4564412 THIRD PARTY ADMINISTRATOR | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 12 | 571 MCDONALD AVE BROOKLYN, NY 11218 | $1.1M |
| SMITH RX PRESCIPTION DRUG VENDOR | Other services Service code 49 | 300 BRANNAN STREET SUITE 601 SAN FRANCISCO, CA 94107 | $88K |
| CENTERS FOR SPECIALTY CARE EIN 74-3126038 RECORDKEEPER | Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing) Service code 10 | 4770 WHITE PLAINS RD BRONX, NY 10470 | $55K |
| ROBINSON & COLE LLP EIN 06-0512640 ATTORNEY | Accounting (including auditing) Service code 10 | 280 TRUMBULL STREET HARTFORD, CT 06103 | $15K |
| FASTEN HALBERSTAM LLP EIN 47-2319109 AUDIT FIRM | Accounting (including auditing) Service code 10 | 40 WALL STREET SUITE 3602 NEW YORK, NY 10005 | $14K |
| FIDUCIENT ADVISORS CONSULTANT | Consulting (general) Service code 16 | 500 W MADISON STREET SUITE 1700 CHICAGO, NY 60661 | $10K |
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 | 6,591 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 28 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 6,619 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 541 | $172K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 541 | $172K |
| Stop-loss / reinsurancereinsurance | SUN LIFE AND HEALTH INSURANCE COMPANY | 1,770 | $736K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,770 | — |
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.