| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 261 MADISON AVENUE, 5TH FLOOR NEW YORK, NY 10016 | NIPPON LIFE INSURANCE COMPANY OF AMERICA | $110K | $0 | $110K | 4.70% |
| USI INSURANCE SERVICES LLC3 | PO BOX 32969 VIRGINIA BEACH, VA 23466 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $6K | $0 | $6K | 11.20% |
| HERBERT L. JAMISON & CO. LLC3 Filed as: HERBERT L. JAMISON AND COMPANY | 123 MAIN STREET, 14TH FLOOR WHITE PLAINS, NY 10601 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $1K | $0 | $1K | 2.53% |
| HERBERT L. JAMISON & CO. LLC3 Filed as: HERBERT L. JAMISON AND COMPANY LLC | 20 COMMERCE DRIVE, SUITE 200 CRANFORD, NJ 07016 | CIGNA DENTAL HEALTH OF NEW JERSEY, INC. | $168 | $0 | $168 | 0.50% |
| USI INSURANCE SERVICES LLC3 | 261 MADISON AVENUE, 5TH FLOOR NEW YORK, NY 10016 | VISION SERVICE PLAN | $829 | $0 | $829 | 5.13% |
| HERBERT L. JAMISON & CO. LLC3 Filed as: HERBERT L. JAMISON AND COMPANY LLC | 20 COMMERCE DRIVE, 2ND FLOOR CRANFORD, NJ 07016 | VISION SERVICE PLAN | $95 | $0 | $95 | 0.59% |
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 | 127 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 128 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | NIPPON LIFE INSURANCE COMPANY OF AMERICA | 170 | $2.3M |
| Dental | CIGNA DENTAL HEALTH OF NEW JERSEY, INC. | 6 | $33K |
| Vision | VISION SERVICE PLAN | 122 | $16K |
| Life insurance | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 127 | $56K |
| Long-term disability | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 127 | $56K |
| Prescription drug | NIPPON LIFE INSURANCE COMPANY OF AMERICA | 170 | $2.3M |
| Other | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 127 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 170 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.