| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | OXFORD HEALTH INSURANCE, INC. | $106K | $0 | $106K | 3.72% |
| RAMPART BENEFIT PLANNING INC3 Filed as: RAMPART BENEFIT PLANNING INC. | 1983 MARCUS AVENUE, SUITE C130 NEW HYDE PARK, NY 11042 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $0 | $12K | 10.02% |
| PROFESSIONAL LAW INS ADVISORS LLC3 Filed as: PROFESSIONAL LAW INS. ADVISORS LLC | PO BOX 59816 POTOMAC, MD 20859 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $0 | $10K | 8.84% |
| RAMPART BENEFIT PLANNING INC3 Filed as: RAMPART BENEFIT PLANNING INC. | 1983 MARCUS AVENUE, SUITE C130 NEW HYDE PARK, NY 11042 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 2.68% |
| WILLIAM T LAWRENCE3 Filed as: WILLIAM T. LAWRENCE | 2917 WEST 9755 SOUTH SOUTH JORDAN, UT 84095 | METROPOLITAN LIFE INSURANCE COMPANY | $207 | $0 | $207 | 0.19% |
| LAWMED INSURANCE GROUP, INC.3 Filed as: LAWMED INSURANCE GROUP INC. | 200 CONGRESS AVENUE, UNIT 20F AUSTIN, TX 78701 | METROPOLITAN LIFE INSURANCE COMPANY | $126 | $0 | $126 | 0.12% |
| EVAN SCOTT PORTNOY3 Filed as: EVAN S. PORTNOY | 1983 MARCUS AVENUE, SUITE 130C NEW HYDE PARK, NY 11042 | METROPOLITAN LIFE INSURANCE COMPANY | $46 | $0 | $46 | 0.04% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | $4K | $0 | $4K | 10.00% |
| RAMPART BENEFIT PLANNING INC3 Filed as: RAMPART BROKERAGE CORPORATION | 1983 MARCUS AVENUE, SUITE C130 LAKE SUCCESS, NY 11042 | FEDERAL INSURANCE COMPANY | $1K | $472 | $2K | 21.25% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | UDC DENTAL OF CALIFORNIA, INC. | $253 | $0 | $253 | 9.98% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | UNION SECURITY DENTALCARE OF NEW JERSEY, INC. | $107 | $0 | $107 | 9.96% |
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 | 128 | 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) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | OXFORD HEALTH INSURANCE, INC. | 230 | $2.8M |
| Dental(3 contracts, 3 carriers) | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | 55 | $48K |
| Vision | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | 55 | $45K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 128 | $117K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 64 | $108K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 128 | $117K |
| Prescription drug | OXFORD HEALTH INSURANCE, INC. | 230 | $2.8M |
| Other(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 128 | $232K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 230 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.