| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHICAGO BENEFIT CONSULTANTS INC.3 | 1236 BRACE RD UNIT E CHERRY HILL, NJ 08034 | EXCELLUS | $27K | — | $27K | 2.99% |
| LIFETIME BENEFIT SOLUTIONS, INC.3 | 2457 STATE RT 7 SUITE 1 PO BOX 340 COBLESKILL, NY 12043 | EXCELLUS | $11K | — | $11K | 1.27% |
| CHICAGO BENEFIT CONSULTANTS INC.3 | 1236 BRACE RD UNIT E CHERRY HILL, NJ 08034 | MVP HEALTH CARE | $3K | — | $3K | 2.75% |
| CHICAGO BENEFIT CONSULTANTS INC.3 | 1236 BRACE RD UNIT E CHERRY HILL, NJ 08034 | MVP HEALTH CARE | $1K | — | $1K | 2.79% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PEIRCE PARK GROUP EIN 51-0311895 NONE | Direct payment from the plan; Investment management Service code 28 | — | $20K |
| INSERO & CO EIN 47-5324570 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $16K |
| LIPSITZ GREEN SCIME CAMBRIA EIN 16-0905097 NONE | Legal; Direct payment from the plan Service code 29 | — | $15K |
| ARCARA ZUCARELLI LENDA & ASSOCIATES EIN 47-1793720 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $10K |
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 | 93 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 37 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | EXCELLUS | 101 | $1.1M |
| Prescription drug | EXCELLUS | 101 | $907K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 101 | — |
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.