| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SDF ASSOCIATES 1991 LTD3 | 571 MCDONALD AVE FLOOR 2 BROOKLYN, NY 11218 | HCC LIFE INSURANCE COMPANY | $40K | — | $40K | 10.00% |
| SDF ASSOCIATES 1991 LTD3 | 571 MCDONALD AVE FLOOR 2 BROOKLYN, NY 11218 | HCC LIFE INSURANCE COMPANY | $15K | — | $15K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TOTAL PLAN CONCEPTS EIN 45-4564412 THIRD PARTY ADMINISTRATOR | Contract Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 571 MCDONALD AVE BROOKLYN, NY 11218 | $1.6M |
| WILSON ELSER ATTORNEY | Legal Service code 29 | 150 E 42ND ST 23 NEW YORK, NY 10017 | $166K |
| SMITH RX PRESCRIPTION DRUG VENDOR | Other services Service code 49 | 300 BRANNAN STREET SUITE 601 SAN FRANCISCO, CA 94107 | $141K |
| SKILLED STAFFING LLC RECORDKEEPER | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 14148 73RD STREET FLUSHING, NY 11367 | $54K |
| FIDUCIENT ADVISORS FIDUCIARY | Consulting (general) Service code 16 | 500 W MADISON STREET SUITE 1700 CHICAGO, IL 60661 | $31K |
| FASTEN HALBERSTAM LLP EIN 47-2319109 AUDIT FIRM | Accounting (including auditing) Service code 10 | 33 WHITEHALL ST 27TH FLOOR NEW YORK, NY 10004 | $24K |
| PERR&KNIGHT CONSULTING | Consulting (general) Service code 16 | 401 WILSHIRE BLVD SUITE 300 SANTA MONICA, CA 90401 | $11K |
| POPULAR BANK CUSTODIAN | Custodial (other than securities) Service code 18 | PO BOX 4890 MIAMI LAKES, FL 33014 | $9K |
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 | 9,790 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 18 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 9,808 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance(2 contracts) | HCC LIFE INSURANCE COMPANY | 1,695 | $546K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,695 | — |
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.