| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT MGMT. SOLUTIONS3 Filed as: BENEFIT MANAGEMENT SOLUTIONS | PO BOX 2828 EAST SETAUKET, NY 11733 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $23K | $70K | $93K | 14.48% |
| BENEFIT MGMT. SOLUTIONS3 Filed as: BENEFIT MANAGEMENT SOLUTIONS | PO BOX 1828 EAST SETAUKET, NY 11733 | NY LIFE GROUP LIFE INSURANCE CO. OF NY | $4K | — | $4K | 1.75% |
| BENEFIT MGMT. SOLUTIONS3 Filed as: BENEFIT MANAGEMENT SOLUTIONS | PO BOX 2828 EAST SETAUKET, NY 11733 | NY LIFE GROUP LIFE INSURANCE CO. OF NY | $11K | — | $11K | 5.00% |
| BENEFIT MGMT. SOLUTIONS3 Filed as: BENEFIT MANAGEMENT SOLUTIONS | PO BOX 1828 EAST SETAUKET, NY 11733 | NY LIFE GROUP LIFE INSURANCE CO. OF NY | $5K | — | $5K | 6.50% |
| BENEFIT MGMT. SOLUTIONS3 Filed as: BENEFIT MANAGEMENT SOLUTIONS | PO BOX 2828 EAST SETAUKET, NY 11733 | NY LIFE GROUP LIFE INSURANCE CO. OF NY | $4K | — | $4K | 5.34% |
| BENEFIT MGMT. SOLUTIONS3 Filed as: BENEFIT MANAGEMENT SOLUTIONS | PO BOX 1828 EAST SETAUKET, NY 11733 | VISION CARE | $2K | — | $2K | 3.79% |
| BENEFIT MGMT. SOLUTIONS3 Filed as: BENEFIT MANAGEMENT SOLUTIONS | PO BOX 2828 EAST SETAUKET, NY 11733 | NY LIFE GROUP LIFE INSURANCE CO. OF NY | $3K | — | $3K | 12.48% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INS. CO. EIN 59-1031071 ADMIN. SVCS. AGREEMENT | Non-monetary compensation; Claims processing; Direct payment from the plan; Contract Administrator; Participant communication; Float revenue; Other services; Named fiduciary Service code 12 | — | $0 |
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 | 572 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 32 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 604 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 896 | $641K |
| Vision | VISION CARE | 374 | $53K |
| Life insurance | NY LIFE GROUP LIFE INSURANCE CO. OF NY | 624 | $216K |
| Short-term disability | NY LIFE GROUP LIFE INSURANCE CO. OF NY | 187 | $69K |
| Long-term disability | NY LIFE GROUP LIFE INSURANCE CO. OF NY | 592 | $73K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 896 | $641K |
| Other(3 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,503 | $906K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,503 | — |
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.