| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| YORK INTERNATIONAL AGENCY LLC3 | 500 MAMARONECK AVENUE SUITE 220 HARRISON, NY 10528 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $6K | — | $6K | 5.23% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE AND FINANCE | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $4K | $4K | 3.73% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS GEN AGENCY | 400 BERWYN PARK, SUITE 200 899 CASSATT ROAD BERWYN, PA 19312 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $2K | $1K | $3K | 2.64% |
| YORK INTERNATIONAL AGENCY LLC3 | 500 MAMARONECK AVENUE HARRISON, NY 10528 | SYMETRA LIFE INSURANCE COMPANY | $24K | $8K | $32K | 27.56% |
| CENTRO BENEFITS RESEARCH LLC3 | 24500 CHAGRIN BOULEVARD SUITE 365 BEACHWOOD, OH 44122 | SYMETRA LIFE INSURANCE COMPANY | — | $12K | $12K | 10.14% |
| ENROLLEASE3 Filed as: ONE DIGITAL PREMIER SERVICES LLC | 400 BERWYN PARK SUITE 200 BERWYN, PA 19312 | SYMETRA LIFE INSURANCE COMPANY | $2K | — | $2K | 2.09% |
| YORK INTERNATIONAL AGENCY LLC3 | 500 MAMARONECK AVENUE SUITE 220 HARRISON, NY 10528 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 19.29% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE AGENCY | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | METROPOLITAN LIFE INSURANCE COMPANY | $830 | $13 | $843 | 4.26% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS GEN AGENCY | 899 CASSATT ROAD SUITE 200 400 BERWYN PARK SUITE 200 BERWYN, PA 19312 | METROPOLITAN LIFE INSURANCE COMPANY | $319 | $32 | $351 | 1.77% |
| ENROLLEASE3 Filed as: ONE DIGITAL PREMIER SERVICES LLC | 400 BERWYN PARK SUITE 200 BERWYN, PA 19312 | METROPOLITAN LIFE INSURANCE COMPANY | $160 | — | $160 | 0.81% |
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 | 340 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 340 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 191 | $120K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 263 | $20K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 342 | $115K |
| Short-term disability | SYMETRA LIFE INSURANCE COMPANY | 342 | $115K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 342 | $115K |
| Other | SYMETRA LIFE INSURANCE COMPANY | 342 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 342 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.