| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: CHERNOFF DIAMOND & CO. LLC | 725 RXR PLAZA EAST TOWER UNIONDALE, NY 11556 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $4K | $3K | $7K | 8.56% |
| BRIO BENEFIT CONSULTING INC3 Filed as: BRIO BENEFIT CONSULTING | 42 BROADWAY STE 1936 NEW YORK, NY 10004 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $208 | — | $208 | 0.26% |
| ACRISURE LLC3 Filed as: CHERNOFF DIAMOND & CO LLC | 725 RXR PLAZA EAST TOWER UNIONDALE, NY 11556 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $5K | $3K | $8K | 9.84% |
| BRIO BENEFIT CONSULTING INC3 Filed as: BRIO BENEFIT CONSULTING | 42 BROADWAY STE 1936 NEW YORK, NY 10004 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $212 | — | $212 | 0.27% |
| ACRISURE LLC3 Filed as: CHERNOFF DIAMOND & CO LLC | 725 RXR PLAZA EAST TOWER UNIONDALE, NY 11556 | CIGNA LIFE INSUNACE CO. OF NEW YORK | $4K | $3K | $7K | 8.62% |
| BRIO BENEFIT CONSULTING INC3 Filed as: BRIO BENEFIT CONSULTING | 42 BROADWAY STE 1936 NEW YORK, NY 10004 | CIGNA LIFE INSUNACE CO. OF NEW YORK | $205 | — | $205 | 0.27% |
| BEERE & PURVES INC3 | 1350 TREAT BLVD STE 470 WALNUT CREEK, CA 94596 | AETNA LIFE INSURANCE CO. | $532 | — | $532 | 1.81% |
| ACRISURE LLC3 Filed as: CHERNOFF DIAMOND & CO LLC | 725 RXR PLAZA EAST TOWER UNIONDALE, NY 11556 | CIGNA LIFE INSUARNCE CO. OF NEW YORK | $1K | $468 | $1K | 12.78% |
| BRIO BENEFIT CONSULTING INC3 Filed as: BRIO BENEFITCONSULTING | 42 BROADWAY STE 1936 NEW YORK, NY 10004 | CIGNA LIFE INSUARNCE CO. OF NEW YORK | $296 | — | $296 | 2.52% |
| ACRISURE LLC3 Filed as: CHERNOFF DIAMOND & CO LLC | 725 RXR PLAZA EAST TOWER UNIONDALE, NY 11556 | CIGNA LIFE INSURANCE CO. OF NEW YROK | $739 | $446 | $1K | 11.64% |
| BRIO BENEFIT CONSULTING INC3 Filed as: BRIO BENEFIT CONSULTING | 42 BROADWAY STE 1936 NEW YORK, NY 10004 | CIGNA LIFE INSURANCE CO. OF NEW YROK | $280 | — | $280 | 2.75% |
| ACRISURE LLC3 Filed as: CHERNOFF DIAMOND & CO LLC | 725 RXR PLAZA EAST TOWER UNIONDALE, NY 11556 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $752 | $455 | $1K | 13.93% |
| BRIO BENEFIT CONSULTING INC3 Filed as: BRIO BENEFIT CONSULTING | 42 BROADWAY STE 1936 NEW YORK, NY 10004 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $287 | — | $287 | 3.31% |
| ACRISURE LLC4 Filed as: CHERNOFF DIAMOND & CO LLC | 725 RXR PLAZA EAST TOWER UNIONDALE, NY 11556 | PRE-PAID LEGAL SERVICES, INC, D/B/A LEGALSHIELD | $358 | — | $358 | 8.57% |
| CAREN WASSERMAN4 | 61 COTTONWOOD CT WANTAGH, NY 11973 | PRE-PAID LEGAL SERVICES, INC, D/B/A LEGALSHIELD | $301 | — | $301 | 7.21% |
| ACRISURE LLC3 Filed as: CHERNOFF DIAMOND & CO., LLC | 727 RXR PLAZA EAST TOWER UNIONDALE, NY 11556 | US FIRE | $44 | — | $44 | 3.75% |
| BRIO BENEFIT CONSULTING INC3 Filed as: BRIO BEMEFIT CONSULTING | 42 BROADWAY STE 1936 NEW YORK, NY 10004 | US FIRE | $15 | — | $15 | 1.28% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $370K |
| HEALTH AND HUMAN RESOURCES CENTER I PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 151 FARMINGTON AVE., RSAA HARTFORD, CT 06156 | $117K |
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 | 494 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 494 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE CO. | 127 | $29K |
| Vision | US FIRE | 59 | $1K |
| Life insurance(2 contracts) | CIGNA LIFE INSURANCE CO. OF NEW YORK | 494 | $87K |
| Short-term disability(2 contracts, 2 carriers) | CIGNA LIFE INSUNACE CO. OF NEW YORK | 350 | $86K |
| Long-term disability | CIGNA LIFE INSURANCE CO. OF NEW YORK | 494 | $78K |
| Other(2 contracts, 2 carriers) | CIGNA LIFE INSUARNCE CO. OF NEW YORK | 494 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 494 | — |
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.