| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENSEMBLE RISK SOLUTIONS3 | 90 MAIN STREET BATAVIA, NY 14020 | AMERITAS LIFE INSURANCE COMPANY | $63 | $0 | $63 | 3.00% |
| JAMES CERONE3 | 2980 EAST AVE ROCHESTER, NY 14610 | AMERITAS LIFE INSURANCE COMPANY | $3 | $0 | $3 | 0.14% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MG TRUST COMPANY DBA MATRIX TRUST C EIN 75-3182674 CUSTODIAN/RECORDKEEPER | Custodial (securities); Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Sub-transfer agency fees; Float revenue; Copying and duplicating; Consulting (general); Participant loan processing; Account maintenance fees; Direct payment from the plan; Recordkeeping fees Service code 15 | — | $146K |
| LYON CAPITAL MANAGEMENT EIN 16-1516933 INVESTMENT ADVISOR | Investment management fees paid directly by plan; Investment advisory (participants) Service code 26 | — | $42K |
| TD AMERITRADE, INC. EIN 82-0543156 SUB-AGENT | Soft dollars commissions; Shareholder servicing fees; Distribution (12b-1) fees; Sub-transfer agency fees Service code 59 | — | $21K |
| QCI ASSET MANAGEMENT INVESTMENT ADVISOR | Investment advisory (participants); Investment management fees paid directly by plan Service code 26 | 40A GROVE STREET PITTSFORD, NY 14534 | $12K |
| MATRIX TRUST COMPANY | Soft dollars commissions; Float revenue Service code 62 | — | $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 | 393 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 152 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 545 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | AMERITAS LIFE INSURANCE COMPANY | 1 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.