| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN CORPORATE BENEFITS INC3 Filed as: AMERICAN CORPORATE BENEFITS | 62 WILLIAM STREET 4TH FL NEW YORK, NY 10005 | DELTA DENTAL OF NEW YORK | $13K | — | $13K | 5.00% |
| AMERICAN CORPORATE BENEFITS INC3 | 62 WILLIAM STREET 4TH FLOOR NEW YORK, NY 10005 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | $321 | $1K | 8.42% |
| GA SOLUTIONS LLC3 Filed as: GA SOLUTIONS | 50 BROADWAY AVENUE SUITE 2 HAWTHORNE, NY 10532 | PRINCIPAL LIFE INSURANCE COMPANY | $482 | $173 | $655 | 4.08% |
| AMERICAN CORPORATE BENEFITS INC3 Filed as: AMERICAN CORPORATE BENEFITS INC. | 62 WILLIAM STREET 4TH FLOOR NEW YORK, NY 10005 | ALLSTATE LIFE INSURANCE COMPANY ON NEW YORK | $474 | — | $474 | 9.20% |
| AMERICAN CORPORATE BENEFITS INC3 Filed as: AMERICAN CORPORATE BENEFITS INC. | 62 WILLIAM STREET 4TH FLOOR NEW YORK, NY 10005 | ALLSTATE LIFE INSURANCE COMPANY ON NEW YORK | $11 | — | $11 | 0.21% |
| AMERICAN CORPORATE BENEFITS INC3 Filed as: AMERICAN CORPORATE BENEFITS, INC | 62 WILLIAM STREET 4TH FLOOR NEW YORK CITY, NY 10005 | ALLSTATE LIFE INSURANCE COMPANY ON NEW YORK | $287 | — | $287 | 12.85% |
No Schedule C service providers reported on this filing.
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 | 301 | 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) | 301 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF NEW YORK | 289 | $253K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 264 | $16K |
| Life insurance(5 contracts, 2 carriers) | COMPANION LIFE INSURANCE COMPANY | 261 | $98K |
| Short-term disability(2 contracts) | MUTUAL OF OMAHA INSURANCE COMPANY | 67 | $25K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 258 | $91K |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | 412 | $861K |
| Other(10 contracts, 3 carriers) | MUTUAL OF OMAHA INSURANCE COMPANY | 261 | $155K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 412 | — |
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.