| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | ANTHEM BLUE CROSS BLUE SHIELD | $9K | — | $9K | 3.99% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | UNITEDHEALTHCARE INSURANCE COMPANY | $851 | — | $851 | 9.03% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: KINLOCH CONSULTING GROUP, INC. | 25 MELVILLE PARK ROAD SUITE 260 MELVILLE, NY 11747 | UNITEDHEALTHCARE INSURANCE COMPANY | $176 | — | $176 | 1.87% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUM RX INC. EIN 33-0441200 PHARMACY BENEFIT MANAGEME | Claims processing; Direct payment from the plan; Other fees; Float revenue Service code 12 | — | $872K |
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $288K |
| CORPORATE SYNERGIES GROUP, LLC EIN 20-1622581 BROKER | Other commissions Service code 55 | 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | $78K |
| KINLOCH CONSULTING GROUP, INC. EIN 20-8333487 BROKER | Other commissions Service code 55 | 25 MELVILLE PARK ROAD SUITE 260 MELVILLE, NY 11747 | $40K |
| GUARDIAN EIN 13-5123390 CLAIM PROCESSING | Claims processing Service code 12 | 10 HUDSON YARDS NEW YORK, NY 10001 | $21K |
| CORPORATE SYNERGIES GROUP LLC EIN 20-1622581 BROKER | Other commissions Service code 55 | 25 MELVILLE PARK ROAD SUITE 260 MELVILLE, NY 11747 | $6K |
| CENTRO BENEFITS RESEARCH, LLC BROKER | Other commissions Service code 55 | 325 NORTH KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | $788 |
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 | 236 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 73 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 309 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM BLUE CROSS BLUE SHIELD | 73 | $221K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 236 | $9K |
| Prescription drug | ANTHEM BLUE CROSS BLUE SHIELD | 73 | $221K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 236 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.