| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INNOVATIVE RISK SOLUTIONS | 3330 BARGAINTOWN ROAD SUITE 2 EGG HARBOR TOWNSHIP, NJ 08234 | HCC LIFE INSURANCE COMPANY | $95K | — | $95K | 15.00% |
| INNOVATIVE RISK SOLUTIONS | 3330 BARGAINTOWN ROAD, SUTE 2 EGG HARBOR, NJ 08234 | AETNA LIFE INSURANCE CO. | $21K | — | $21K | 4.96% |
| INNOVATIVE RISK SOLUTIONS | 3330 BARGAINTOWN ROAD, SUITE 2 EGG HARBOR TOWNSHIP, NJ 08234 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $62K | — | $62K | 15.00% |
| INNOVATIVE RISK SOLUTIONS Filed as: INNOVATIVE RISK SOLUTIONS, INC | 3330 BARGAINTOWN ROAD, SUITE 2 EGG HARBOR, NJ 08234 | STANDARD SECURITY LIFE INS. COMPANY OF NEW YORK | — | $45K | $45K | 15.00% |
| INNOVATIVE RISK SOLUTIONS Filed as: INNOVATIVE RISK SOLUTIONS, INC. | 3330 BARGAINTOWN ROAD, SUITE 2 EGG HARBOR TOWNSHIP, NJ 08234 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | — | $5K | 3.96% |
| INNOVATIVE RISK SOLUTIONS Filed as: INNOVATIVE RISK SOLUTIONS, INC. | 3330 BARGAINTOWN ROAD, SUITE 2 EGG HARBOR TOWNSHIP, NJ 08234 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 4.59% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HORIZON HEALTHCARE SERVICES, INC. EIN 22-0999690 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 3 PENN PLAZA EAST NEWARK, NJ 07105 | $274K |
| INNOVATIVE RISK SOLUTIONS INSURANCE AGENTS/BROKERS | Insurance agents and brokers Service code 22 | 3330 BARGAINTOWN ROAD EGG HARBOR, NJ 08234 | $35K |
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 | 875 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 875 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 0 | $414K |
| Dental(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 1,050 | $571K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 692 | $75K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 465 | $135K |
| Prescription drug | EXPRESS SCRIPTS, INC. | 0 | $524K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | HCC LIFE INSURANCE COMPANY | 460 | $936K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,050 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.