| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CAMPBELL PETRIE, INC.3 Filed as: CAMPBELL PETRIE INC | 570 W. MOUNT PLEASANT AVE STE 104 LIVINGSTON, NJ 070391619 | SUN LIFE ASSURANCE COMPANY OF CANADA | $16K | — | $16K | 5.43% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: HORIZON BLUE CROSS BLUE SHIELD OFNJ | 1180 AVENUE OF THE AMERICAS, 8TH FL NEW YORK, NY 10036 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | — | $6K | 1.94% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | — | $6K | $6K | 3.96% |
| CAMPBELL PETRIE, INC.3 Filed as: CAMPBELL PETRIE INC | 570 W. MOUNT PLEASANT AVE STE 104 LIVINGSTON, NJ 07039 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $3K | — | $3K | 1.98% |
| DCBP HOLDINGS, INC.3 Filed as: DCBP HOLDINGS INC | 570 W. MOUNT PLEASANT AVE STE 1 LIVINGSTON, NJ 07039 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | $3K | $11K | 9.68% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | PRINCIPAL LIFE INSURANCE COMPANY | — | $7K | $7K | 5.56% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE | PATRIOT GROWTH INSURANCE SVCS FORT WASHINGTON, PA 19034 | EQUITABLE MONY LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 15.37% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | EQUITABLE MONY LIFE INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 9.56% |
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 | 270 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 270 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 194 | $156K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 270 | $131K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 270 | $117K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 178 | $293K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 270 | — |
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.