| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT MGMT. SOLUTIONS3 | 45 RESEARCH WAY STE 106 EAST SETAUKET, NY 11733 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $64K | — | $64K | 7.85% |
| BENEFIT MGMT. SOLUTIONS3 | 45 RESEARCH WAY STE 106 EAST SETAUKET, NY 11733 | AETNA LIFE INSURANCE COMPANY | $16K | — | $16K | 3.15% |
| BENEFIT MGMT. SOLUTIONS3 | 45 RESEARCH WAY STE 106 EAST SETAUKET, NY 11733 | CIGNA LIFE INSURANCE CO | $8K | — | $8K | 5.00% |
| BENEFIT MGMT. SOLUTIONS3 | 45 RESEARCH WAY STE 106 EAST SETAUKET, NY 11733 | CIGNA LIFE INSURANCE CO | $3K | — | $3K | 4.17% |
| BENEFIT MGMT. SOLUTIONS3 | 45 RESEARCH WAY STE 106 EAST SETAUKET, NY 11733 | CIGNA LIFE INSURANCE CO | $4K | — | $4K | 5.41% |
| BENEFIT MGMT. SOLUTIONS3 | 45 RESEARCH WAY STE 106 EAST SETAUKET, NY 11733 | CIGNA LIFE INSURANCE CO | $5K | — | $5K | 7.12% |
| BENEFIT MGMT. SOLUTIONS3 | 45 RESEARCH WAY STE 106 EAST SETAUKET, NY 11733 | VISION SERVICE PLAN-VSP | $1K | — | $1K | 4.39% |
| BENEFIT MGMT. SOLUTIONS3 | 45 RESEARCH WAY STE 106 EAST SETAUKET, NY 11733 | CIGNA LIFE INSURANCE CO | $2K | — | $2K | 13.01% |
| BENEFIT MGMT. SOLUTIONS3 | 45 RESEARCH WAY STE 106 EAST SETAUKET, NY 11733 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 ADMIN. SVCS. AGREEMENT | Other services; Claims processing; Float revenue; Participant communication; Named fiduciary; Non-monetary compensation; Contract Administrator; Direct payment from the plan Service code 12 | A CIGNA COMPANY HARTFORD, CT 06152 | $699K |
| CIGNA BEHAVIORAL HEALTH INC EIN 41-1648670 CONTRACT | Direct payment from the plan; Claims processing; Contract Administrator; Other services; Participant communication; Float revenue Service code 12 | A CIGNA COMPANY HARTFORD, CT 06152 | $5K |
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 | 714 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 24 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 738 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE COMPANY | 1,015 | $523K |
| Vision | VISION SERVICE PLAN-VSP | 272 | $34K |
| Life insurance | CIGNA LIFE INSURANCE CO | 0 | $166K |
| Short-term disability(3 contracts, 2 carriers) | CIGNA LIFE INSURANCE CO | 0 | $136K |
| Long-term disability | CIGNA LIFE INSURANCE CO | 0 | $65K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,193 | $819K |
| Other(2 contracts) | CIGNA LIFE INSURANCE CO | 0 | $86K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,193 | — |
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.