| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| YORK INTERNATIONAL AGENCY LLC3 Filed as: YORK INTERNATIONAL AGENCY | 500 MAMARONECK AVE, STE 220 HARRISON, NY 10528 | DELTA DENTAL OF NEW YORK | $7K | — | $7K | 2.67% |
| YORK INTERNATIONAL AGENCY LLC3 | 500 MAMARONECK AVE, STE 220 HARRISON, NY 10528 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $4K | $3K | $7K | 4.08% |
| STOCKBRIDGE RESOURCES INC.3 | 40 CUTTERMILL RD, STE 405 GREAT NECK, NY 11021 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $322 | — | $322 | 0.20% |
| USI INSURANCE SERVICES LLC3 | CORPORATE HEADQUARTERS 100 SUMMIT LAKE DRIVE, SUITE 400 VALHALLA, NY 10595 | EYEMED VIS. CARE ON BEHALF OF FIDELITY SEC. LIFE INS. CO. OF NEW YORK | $2K | — | $2K | 5.66% |
| YORK INTERNATIONAL AGENCY LLC3 Filed as: YORK INTERNATIONAL AGENCY, LLC | 500 MAMARONECK AVE HARRISON, NY 10528 | EYEMED VIS. CARE ON BEHALF OF FIDELITY SEC. LIFE INS. CO. OF NEW YORK | $1K | — | $1K | 3.48% |
| YORK INTERNATIONAL AGENCY LLC3 | 500 MAMARONECK AVE, STE 220 HARRISON, NY 10528 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $3K | $544 | $3K | 9.56% |
| STOCKBRIDGE RESOURCES INC.3 | 40 CUTTERMILL RD, STE 405 GREAT NECK, NY 11021 | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | $428 | — | $428 | 1.24% |
| YORK INTERNATIONAL AGENCY LLC3 Filed as: YORK INTERNATIONAL AGENCY | 500 MAMARONECK AVE, STE 220 HARRISON, NY 10528 | DELTA DENTAL OF NEW YORK | $380 | — | $380 | 2.55% |
| MJ INSURANCE3 Filed as: VARIOUS AGENTS* | C/O AFLAC 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $4K | $96 | $4K | 37.79% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN ARTHUR SCOTTI | TEAM SCOTTI 100 STANWIX ST PITTSBURGH, PA 15222 | UNITED CONCORDIA INSURANCE COMPANY OF NEW YORK | $709 | $33 | $742 | 11.96% |
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 | 438 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 447 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(3 contracts, 2 carriers) | DELTA DENTAL OF NEW YORK | 308 | $274K |
| Vision | EYEMED VIS. CARE ON BEHALF OF FIDELITY SEC. LIFE INS. CO. OF NEW YORK | 557 | $40K |
| Life insurance(2 contracts, 2 carriers) | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 423 | $171K |
| Short-term disability | AFLAC | 10 | $11K |
| Long-term disability | THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK | 423 | $34K |
| Other | AFLAC | 10 | $11K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 557 | — |
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.