| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GREATER METRO AGENCY INC3 Filed as: GREATER METRO AGENCY INC. | 2003 JERICHO TURNPIKE NEW HYDE PARK, NY 11040 | HARTFORD LIFE AND ACCIDENT | $11K | $7K | $18K | 13.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS NORTHEASTERN PENNSYLVANIA EIN 24-0615177 CLAIMS ADMINISTRATOR | Contract Administrator Service code 13 | — | $189K |
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 | 363 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 363 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | BLUECROSS OF NORTHEASTERN PENNSYLVANIA | 297 | $227K |
| Vision | EYE MED | 493 | $28K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 363 | $140K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 363 | $140K |
| Other | HARTFORD LIFE AND ACCIDENT | 363 | $140K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 493 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.