| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 | 333 W 34TH ST NEW YORK, NY 10001 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $96 | — | $96 | 0.01% |
| ROBIN DUSANG3 | P.O. BOX 56268 METAIRIE, LA 70060 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $24 | — | $24 | 0.00% |
| THE SEGAL COMPANY3 Filed as: THE SEGAL COMPANY EASTERN STATES | 1920 N STREET NW WASHINGTON, DC 20036 | HARTFORD LIFE AND ACCIDENT | — | $36K | $36K | 5.41% |
| THE SEGAL COMPANY3 | 333 W 34TH STREET, 2ND FLOOR NEW YORK, NY 10001 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $32K | — | $32K | 15.71% |
| THE SEGAL COMPANY3 | 333 W 34TH STREET, 2ND FLOOR NEW YORK, NY 10001 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $20K | — | $20K | 14.99% |
| THE SEGAL COMPANY3 | 2018 POWERS FERRY RD SE ATLANTA, GA 303395003 | VISION SERVICE PLAN | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA EIN 58-1640157 NONE | Contract Administrator Service code 13 | P.O. BOX 20643 LEHIGH VALLEY, PA 18002 | $917K |
| US DEPT OF HEALTH & HUMAN RESOURCES NONE | Other fees Service code 99 | 200 INDEPENDENCE AVENUE, SW WASHINGTON, DC 20201 | $71K |
| SEGAL COMPANY EIN 13-2619259 NONE | Consulting (pension) Service code 17 | — | $55K |
| EMPLOYEE A EIN 86-0572343 EMPLOYEE | Employee (plan) Service code 30 | — | $49K |
| EMPLOYEE B EIN 86-0572343 EMPLOYEE | Employee (plan) Service code 30 | — | $45K |
| BLAKE & UHLIG EIN 48-0918231 NONE | Legal Service code 29 | — | $27K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Accounting (including auditing) Service code 10 | — | $23K |
| DYNAMARC EIN 20-3555695 NONE | Other services Service code 49 | — | $15K |
| WINSTEAD EIN 75-2404691 NONE | Legal Service code 29 | — | $10K |
| US TREASURY NONE | Other fees Service code 99 | 799 9TH STREET NW WASHINGTON, DC 20001 | $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 | 2,912 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,923 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL INSURANCE COMPANY | 1,568 | $572K |
| Vision | VISION SERVICE PLAN | 1,477 | $124K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 2,727 | $671K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 2,473 | $1.0M |
| Other(4 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 2,727 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,727 | — |
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."
No prospect flags tripped on this filing.