| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| YECHEZKEL ASSAF3 | 108 S FRANKLIN AVENUE STE 5B VALLEY STREAM, NY 11580 | AMERITAS LIFE INSURANCE CORP. | $55K | — | $55K | 13.00% |
| H BAS SOLUTIONS LLC3 | 108 S FRANKLIN AVENUE STE 5B VALLEY STREAM, NY 11580 | AMERITAS LIFE INSURANCE CORP. | — | $21K | $21K | 5.09% |
| HBAS SOLUTIONS LLC3 | 108 S FRANKLIN AVE STE 5B VALLEY STREAM, NY 11580 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $4K | $12K | 16.70% |
| MAIA LABOW3 | 666 DUNDEE RD STE 1603 NORTHBROOK, IL 60062 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $153 | $4K | 5.27% |
| GCG FINANCIAL LLC3 Filed as: DICKERSON EMP BENEFITS AN ALERA GRP | 1918 RIVERSIDE DR LOS ANGELES, CA 90039 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 5.26% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA HBAS INSURANCE SVC | 108 S FRANKLIN AVE STE 5B VALLEY STREAM, NY 11580 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 2.88% |
| GCG FINANCIAL LLC3 Filed as: ALERA GENERAL AGENCY | 965 GREENTREE RD STE 110 PITTSBURGH, PA 15220 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 1.52% |
| YECHEZKEL ASSAF3 | 108 S FRANKLIN AVE STE 5B VALLEY STREAM, NY 11580 | METROPOLITAN LIFE INSURANCE COMPANY | $443 | — | $443 | 0.61% |
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 | 1,005 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,005 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERITAS LIFE INSURANCE CORP. | 1,201 | $420K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,011 | $73K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,011 | $73K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,011 | $73K |
| Stop-loss / reinsurancereinsurance | SIRIUS AMERICA INSURANCE COMPANY | 460 | $547K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 1,011 | $73K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,201 | — |
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.