| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CAMPBELL PETRIE, INC.3 Filed as: CAMPBELL PETRIE, INC | 1460 US HIGHWAY 9 NORTH STE 200 WOODBRIDGE, NJ 07095 | SUN LIFE ASSURANCE COMPANY OF CANADA | $12K | — | $12K | 4.58% |
| HORIZON HEALTHCARE SERVICES, INC.3 Filed as: HORIZON HEALTHCARE SERVICES INC | 1180 AVENUE OF THE AMERICAS 8TH FLOOR NEW YORK, NY 10036 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $5K | $5K | 2.05% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC | 225 WIRELESS BLVD, 2ND FLOOR HAPPAUGE, NY 11788 | CIGNA HEALTH AND LIFE INSURANCE CO. | — | $6K | $6K | 3.98% |
| CAMPBELL PETRIE, INC.3 Filed as: CAMPBELL PETRIE, INC | 1460 US HIGHWAY 9 NORTH STE 200 WOODBRIDGE, NJ 07095 | CIGNA HEALTH AND LIFE INSURANCE CO. | $3K | $10 | $3K | 1.99% |
| DCBP HOLDINGS, INC.3 Filed as: DCBP HOLDINGS INC | 570 W MOUNT PLEASANT AVE LIVINGSTON, NJ 07039 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $2K | $8K | 10.41% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC | 225 WIRELESS BLVD, 2ND FLOOR HAPPAUGE, NY 11788 | PRINCIPAL LIFE INSURANCE COMPANY | — | $4K | $4K | 5.34% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INS SERVICES LLC | 1460 US HIGHWAY 9 NORTH STE 200 WOODBRIDGE, NJ 07095 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 1.85% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC | 225 WIRELESS BLVD, 2ND FLOOR HAPPAUGE, NY 11788 | PRINCIPAL LIFE INSURANCE COMPANY | — | $362 | $362 | 0.49% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INS SERVICES LLC | 1500 QUAIL ST STE 570 NEWPORT BEACH, CA 92660 | PRINCIPAL LIFE INSURANCE COMPANY | — | $362 | $362 | 0.49% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC | 225 WIRELESS BLVD, 2ND FLOOR HAPPAUGE, NY 11788 | CIGNA DENTAL HEALTH OF NEW JERSEY, INC. | — | $201 | $201 | 3.99% |
| CAMPBELL PETRIE, INC.3 Filed as: CAMPBELL PETRIE, INC | 1460 US HIGHWAY 9 NORTH STE 200 WOODBRIDGE, NJ 07095 | CIGNA DENTAL HEALTH OF NEW JERSEY, INC. | $102 | — | $102 | 2.03% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC | 225 WIRELESS BLVD, 2ND FLOOR HAPPAUGE, NY 11788 | CIGNA DENTAL HEALTH OF NORTH CAROLINA, INC. | — | $42 | $42 | — |
| CAMPBELL PETRIE, INC.3 Filed as: CAMPBELL PETRIE, INC | 1460 US HIGHWAY 9 NORTH STE 200 WOODBRIDGE, NJ 07095 | CIGNA DENTAL HEALTH OF NORTH CAROLINA, INC. | $21 | — | $21 | — |
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 | 279 | 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) | 279 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(3 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE CO. | 199 | $154K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 279 | $74K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 279 | $74K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 177 | $261K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 279 | — |
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.