| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DONALD C SAVOY INC3 Filed as: DONALD C. SAVOY INC | 25B HANOVER ROAD SUITE 220 FLORHAM PARK, NJ 07932 | CIGNA HEALTH & LIFE INSURANCE COMPANY | — | $70K | $70K | 1.50% |
| OTTERSTEDT INS AGENCY INC3 Filed as: OTTERSTEDT INSURANCE AGENCY | 291 MORRIS AVENUE SUMMIT, NJ 07901 | CIGNA HEALTH & LIFE INSURANCE COMPANY | — | $70K | $70K | 1.50% |
| DONALD C SAVOY INC3 Filed as: DONALD C. SAVOY INC | 258 HANOVERE RD SUITE 220 FLORHAM PARK, NJ 07932 | GUARDIAN | $49K | $9K | $58K | 11.94% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH & LIFE INSURANCE CO CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 900 COTTAGE GROVE RD BLOOMFIELD, CA 06002 | $87K |
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 | 406 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 23 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 429 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH & LIFE INSURANCE COMPANY | 469 | $4.6M |
| Dental | GUARDIAN | 426 | $487K |
| Vision | GUARDIAN | 426 | $487K |
| Life insurance | GUARDIAN | 426 | $487K |
| Long-term disability | GUARDIAN | 426 | $487K |
| Other | GUARDIAN | 426 | $487K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 469 | — |
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.