| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DEREK A BLATT3 Filed as: DEREK BLATT | 5 SICOMAC RD STE 314 NORTH HALEDON, NJ 07508 | AETNA LIFE INSURANCE CO. | $150K | — | $150K | 6.80% |
| DONALD C SAVOY INC3 | 25B HANOVER RD STE 220 FLORHAM PARK, NJ 07932 | AETNA LIFE INSURANCE CO. | $23K | — | $23K | 1.05% |
| DEREK A BLATT3 | 5 SICOMAC RD STE 314 NORTH HALEDON, NJ 07508 | PRINCIPAL LIFE INSURANCE COMPANY | $45K | — | $45K | 11.98% |
| DONALD C SAVOY INC3 | 25B HANOVER RD STE 220 FLORHAM PARK, NJ 07932 | PRINCIPAL LIFE INSURANCE COMPANY | $11K | — | $11K | 3.00% |
| DEREK A BLATT3 | 5 SICOMAC RD STE 314 NORTH HALEDON, NJ 07508 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | — | $4K | 11.97% |
| DONALD C SAVOY INC3 | 25B HANOVER RD STE 220 FLORHAM PARK, NJ 07932 | PRINCIPAL LIFE INSURANCE COMPANY | $970 | — | $970 | 3.00% |
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 | 190 | 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) | 190 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 157 | $2.2M |
| Dental(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 190 | $411K |
| Vision(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 190 | $411K |
| Life insurance(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 190 | $411K |
| Short-term disability(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 190 | $411K |
| Long-term disability(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 190 | $411K |
| Other(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 190 | $411K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 190 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.