| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AUSTIN & CO INC3 Filed as: AUSTIN & CO., INC. | 20 CORPORATE WOODS BLVD. ALBANY, NY 12211 | OXFORD HEALTH INSURANCE, INC. | $71K | — | $71K | 4.00% |
| MICHAEL P ZORN3 Filed as: MICHAEL ZORN | 60 US HIGHWAY 46 FAIRFIELD, NJ 07004 | AFLAC | $75 | — | $75 | 2.94% |
| THOMAS BRZEZINSKI3 | 99 SUMMIT RD. SPARTA, NJ 07871 | AFLAC | $38 | — | $38 | 1.49% |
| GREGORY P TARRIS3 Filed as: GREGORY TARRIS | 103 GREENWAY ALLENDALE, NJ 07401 | AFLAC | $31 | — | $31 | 1.21% |
| MICHAEL FORNARO3 | 271 US HIGHWAY 46 STE. H119 FAIRFIELD, NJ 07004 | AFLAC | $31 | — | $31 | 1.21% |
| BRANDY T SHARROCK3 Filed as: BRANDY SHARROCK | 77 BARNEGAT RD. HEWITT, NJ 07421 | AFLAC | $21 | — | $21 | 0.82% |
| ALBERT SHUST3 | 200 CENTENNIAL AVE. STE. 105 PISCATAWAY, NJ 08854 | AFLAC | $5 | — | $5 | 0.20% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN PITUCH | 23 MORGAN DR. SPARTA, NJ 07871 | AFLAC | $4 | — | $4 | 0.16% |
| GIULIO A PADOVANI3 Filed as: GIULIO PADOVANI | 9 QUAIL COURT BASKING RIDGE, NJ 07920 | AFLAC | $4 | — | $4 | 0.16% |
| TIMOTHY MCDERMOTT3 | 19 GREENBROOK DR. BLOOMFIELD, NJ 07003 | AFLAC | $2 | — | $2 | 0.08% |
| ANN PREGNER3 | PO BOX 248 OLDWICK, NJ 08858 | AFLAC | $2 | — | $2 | 0.08% |
| CRAIG WAYNE SOTTILE3 Filed as: CRAIG HANSEN | 30 PARSLER PL. FORDS, NJ 08863 | AFLAC | $1 | — | $1 | 0.04% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN PITUCH | 23 MORGAN DR SPARTA, NJ 07871 | AFLAC | $1 | — | $1 | 0.04% |
| TIMOTHY MCDERMOTT3 | 150 ALLEN RD STE 110 BASKING RIDGE, NJ 07920 | AFLAC | $1 | — | $1 | 0.04% |
| MICHAEL P ZORN3 Filed as: MICHAEL ZORN | 179 S GLEN RD KINNELON, NJ 07005 | AFLAC | $46 | — | $46 | 2.96% |
| GREGORY P TARRIS3 Filed as: GREGORY TARRIS | 103 GREENWAY ALLENDALE, NJ 07401 | AFLAC | $24 | — | $24 | 1.54% |
| THOMAS BRZEZINSKI3 | 99 SUMMIT RD. SPARTA, NJ 07871 | AFLAC | $24 | — | $24 | 1.54% |
| MICHAEL FORNARO3 | 271 US HIGHWAY 46 STE. H119 FAIRFIELD, NJ 07004 | AFLAC | $22 | — | $22 | 1.41% |
| ALBERT SHUST3 | 200 CENTENNIAL AVE. STE. 105 PISCATAWAY, NJ 08854 | AFLAC | $4 | — | $4 | 0.26% |
| GIULIO A PADOVANI3 Filed as: GIULIO PADOVANI | 9 QUAIL COURT BASKING RIDGE, NJ 07920 | AFLAC | $3 | — | $3 | 0.19% |
| ANN PREGNER3 | PO BOX 248 OLDWICK, NJ 08858 | AFLAC | $1 | — | $1 | 0.06% |
| TIMOTHY MCDERMOTT3 | 150 ALLEN RD. STE. 110 BASKING RIDGE, NJ 07920 | AFLAC | $1 | — | $1 | 0.06% |
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 | 124 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | OXFORD HEALTH INSURANCE, INC. | 214 | $1.8M |
| Short-term disability(2 contracts) | AFLAC | 5 | $4K |
| Long-term disability(2 contracts) | AFLAC | 5 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 214 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.