| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BEN WERTZBERGER & ASSOC LP3 | 26 WILSON STREET BROOKLYN, NY 11249 | SUN LIFE AND HEALTH INSURANCE COMPANY | $87K | — | $87K | 16.30% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERICAN PLAN ADMINISTRATORS EIN 20-0701442 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | 18 HEYWARD STREET BROOKLYN, NY 11211 | $548K |
| EAGLE RISK SERVICES, LLC THIRD PARTY ADMINISTRATOR | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 202 CATON AVENUE BROOKLYN, NY 11218 | $535K |
| FASTEN HALBERSTAM LLP EIN 47-2319109 PLAN AUDITOR | Accounting (including auditing) Service code 10 | 40 WALL STREET SUITE 3602 NEW YORK, NY 10005 | $15K |
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 | 836 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 836 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | SUN LIFE AND HEALTH INSURANCE COMPANY | 938 | $531K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 938 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.