| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CAMPBELL PETRIE, INC.3 Filed as: CAMPBELL PETRIE INC. | 570 WEST MOUNT PLEASANT AVENUE SUITE 104 LIVINGTON, NJ 07039 | AETNA LIFE INSURANCE COMPANY | $31K | $8 | $31K | 12.16% |
| YORK INTERNATIONAL AGENCY LLC3 Filed as: YORK INTERNATIONAL AGENY LLC | 500 MAMARONECK AVENUE, SUITE 220 HARRISON, NY 10528 | AETNA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 1.07% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BOULEVARD, 2ND FLOOR HAUPPAUGE, NY 11788 | AETNA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 0.88% |
| CAMPBELL PETRIE, INC.3 Filed as: CAMPBELL PETRIE INC. | 570 WEST MOUNT PLEASANT AVENUE SUITE 104 LIVINGTON, NJ 07039 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | $11K | $19K | 11.12% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS INC. | 225 WIRELESS BOULEVARD, SUITE 200 HAUPPAUGE, NY 11788 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $15K | $15K | 8.35% |
| YORK INTERNATIONAL AGENCY LLC3 Filed as: YORK INTERNATIONAL AGENY LLC | 500 MAMARONECK AVENUE, SUITE 220 HARRISON, NY 10528 | PRINCIPAL LIFE INSURANCE COMPANY | $694 | $0 | $694 | 0.40% |
| CENTERSTONE INSURANCE AND FINANCIAL3 | 1133 WESTCHESTER AVENUE, SUITE 229 WHITE PLAINS, NY 10604 | PRINCIPAL LIFE INSURANCE COMPANY | $418 | $0 | $418 | 0.24% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS | 897 12TH STREET HAMMONTON, NJ 08037 | FIRST UNUM LIFE INSURANCE COMPANY | $2K | $686 | $3K | 4.46% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 120 EAGLE ROCK AVENUE, SUITE 195 EAST HANOVER, NJ 07936 | FIRST UNUM LIFE INSURANCE COMPANY | $999 | $0 | $999 | 1.75% |
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 | 919 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 932 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE COMPANY | 879 | $256K |
| Vision | AETNA LIFE INSURANCE COMPANY | 879 | $256K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 919 | $231K |
| Short-term disability | FIRST UNUM LIFE INSURANCE COMPANY | 174 | $57K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 919 | $174K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 919 | $174K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 919 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.