| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $44K | — | $44K | 9.67% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $3K | — | $3K | 5.10% |
| BARUCH KLAHR3 | 100 DUTCH HILL RD STE 220 ORANGEBURG, NY 10962 | THE PAUL REVERE LIFE INSURANCE COMPANY | $823 | — | $823 | 7.64% |
| YEHUDAH GUTMAN3 | 1066 E 2ND ST BROOKLYN, NY 11230 | THE PAUL REVERE LIFE INSURANCE COMPANY | $323 | — | $323 | 3.00% |
| NATIONAL ENROLLMENT PARTNERS LLC3 | C/O NATL ENROLLMENT PARTNERS CRANSTON, RI 02920 | THE PAUL REVERE LIFE INSURANCE COMPANY | $140 | — | $140 | 1.30% |
| SOTERIA PARTNERS LLC3 | 550 W 29TH ST APT 3A NEW YORK, NY 10001 | THE PAUL REVERE LIFE INSURANCE COMPANY | $52 | — | $52 | 0.48% |
| KIMANI MATTHEW3 | 52 CANTON RD WEST SIMSBURY, CT 06092 | THE PAUL REVERE LIFE INSURANCE COMPANY | $40 | — | $40 | 0.37% |
| SEAMLESS BENEFITS LLC3 Filed as: SEAMLESS BENEFITS LLC AND VARIOUS | AGENTS 10490 POLO LAKE DR W APT 207 WELLINGTON, FL 33414 | THE PAUL REVERE LIFE INSURANCE COMPANY | $19 | — | $19 | 0.18% |
| CLARICE D LEWIS LLC3 | 8631 STONEFACE RD CHARLOTTE, NC 28214 | THE PAUL REVERE LIFE INSURANCE COMPANY | $15 | — | $15 | 0.14% |
| BARUCH KLAHR3 | 100 DUTCH HILL RD STE 220 ORANGEBURG, NY 10962 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $999 | $56 | $1K | 12.35% |
| NATIONAL ENROLLMENT PARTNERS LLC3 | C/O NATL ENROLLMENT PARTNERS CRANSTON, RI 02920 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $224 | $208 | $432 | 5.06% |
| ZANETTA NOEL BRYANT3 | 22 MIDLAND LANE WHEATLEY HEIGHTS, NY 11798 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $369 | — | $369 | 4.32% |
| YEHUDAH GUTMAN3 | 1066 E 2ND ST BROOKLYN, NY 11230 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $335 | — | $335 | 3.92% |
| SOTERIA PARTNERS LLC3 | 550 W 29TH ST APT 3A NEW YORK, NY 10001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $81 | $64 | $145 | 1.70% |
| CLARICE D LEWIS LLC3 | 8631 STONEFACE RD CHARLOTTE, NC 28214 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $23 | — | $23 | 0.27% |
| YESENIA A SANCHEZ3 Filed as: YESENIA A SANCHEZ AND VARIOUS | AGENTS 1021 DELRIDGE AVE ORLANDO, FL 32804 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.13% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DR STE 200 CAMDEN, NJ 08103 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $702 | $198 | $900 | 12.83% |
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 | 148 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 148 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 87 | $471K |
| Dental(3 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 65 | $87K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 65 | $67K |
| Life insurance(3 contracts, 3 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 146 | $26K |
| Other(4 contracts, 4 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 146 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 146 | — |
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.