| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT VENTURES CORP3 Filed as: BENEFIT VENTURES CORP. | 1460 ROUTE 9 NORTH SUITE 304 WOODBRIDGE, NJ 07095 | HORIZON HEALTHCARE SERVICES, INC. | $25K | — | $25K | 1.58% |
| TERRIANN PROCIDA3 | 101A FOSTER ROAD MOORESTOWN, NJ 08057 | HORIZON HEALTHCARE SERVICES, INC. | $22K | — | $22K | 1.42% |
| BENEFIT VENTURES CORP3 | 1460 ROUTE 9 NORTH SUITE 304 WOODBRIDGE, NJ 07095 | AETNA LIFE INSURANCE CO. | $2K | — | $2K | 2.16% |
| TERRIANN PROCIDA3 | 101 A FOSTER RD MOORESTOWN, NJ 08057 | AETNA LIFE INSURANCE CO. | $2K | — | $2K | 1.80% |
| INNOVATIVE BENEFIT PLANNING, LLC3 Filed as: INNOVATIVE BENEFIT PLANNING LLC | 101 A FOSTER RD MOORESTOWN, NJ 08057 | AETNA LIFE INSURANCE CO. | $552 | — | $552 | 0.50% |
| ROLANDA BREWER3 | 32 PERSHING LANE SICKLERVILLE, NJ 08081 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11K | — | $11K | 9.95% |
| BRAD BIEL3 | 1050 WALL STREET W LYNDHURST, NJ 07071 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $8K | $10K | 9.51% |
| LAURA A RHEIN3 Filed as: LAURA RHEIN | 101 SCHLUETER GERMAINE ROAD BELLEVILLE, IL 62220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $518 | $2K | 1.77% |
| RAUL CAIRO JR3 | 310 77TH STREET NORTH BERGEN, NJ 07047 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 1.45% |
| THE WORKSIGHT GROUP LLC3 | 6 ELM STREET MADISON, NJ 07940 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $616 | $672 | $1K | 1.18% |
| MARIA D FLORES LOPEZ3 Filed as: MARIA D. FLORES LOPEZ | 445 BIG HILL CIRCLE APT D INDIANAPOLIS, IN 46224 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $890 | — | $890 | 0.82% |
| ELITE ADMINISTRATION3 | 313 HARKINS BLUFF DRIVE GREER, SC 29651 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $879 | $8 | $887 | 0.81% |
| BRANDON TYLER LYNN3 | 7532 JENISON DRIVE INDIANAPOLIS, IN 46217 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $753 | $6 | $759 | 0.70% |
| CAROLYN REZNICEK3 | 24290 BUCKHORN LANE CARLINVILLE, IL 62626 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $665 | — | $665 | 0.61% |
| SHANNON DIARRA SHEPPARD3 | 1 VAUGHN WAY BURLINGTON, NJ 08016 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $559 | — | $559 | 0.51% |
| SARAI HERNANDEZ3 | 2204 BLOOMSDALE ROAD LEVITTOWN, PA 19057 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $504 | — | $504 | 0.46% |
| JORGE CASTELLANOS3 | 7441 FIGURA DRIVE JUSTICE, IL 60458 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $280 | $73 | $353 | 0.32% |
| PARRISH J PEACHEE3 | 109 N UNION STREET WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $224 | $10 | $234 | 0.21% |
| DAVID ALVARADO3 Filed as: DAVID Z. ALVARADO | 2643 OLD COUNTRY ROAD NEWARK, DE 19702 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $223 | — | $223 | 0.20% |
| ELIZABETH HERNANDEZ3 | 245 W. 72ND STREET NEW YORK, NY 10023 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $174 | $44 | $218 | 0.20% |
| TIMOTHY J REED3 Filed as: TIMOTHY REED | 21 AZALEA DRIVE LUMBERTON, NJ 08048 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $183 | $12 | $195 | 0.18% |
| CIEMONE SHEPPARD3 | 1 VAUGHN WAY BURLINGTON, NJ 08016 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $162 | — | $162 | 0.15% |
| JOHN W NISWONGER3 Filed as: JOHN W. NISWONGER | 525 COUNTY RD 233 CAPE GIRARDEAU, MA 63701 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $106 | $31 | $137 | 0.13% |
| RICHARD D SCHOOLEY3 Filed as: RICHARD SCHOOLEY | 563 BALLAS PARK DRIVE ST. LOUIS, MO 63122 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $100 | $30 | $130 | 0.12% |
| JOSEPH NISWONGER3 | 787 VAIL DRIVE JACKSON, MO 63755 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $106 | $16 | $122 | 0.11% |
| CDC CONSULTING SERVICES INC3 Filed as: CDC CONSULTING SERVICES, INC. | 47 WESTERN AVE DEER PARK, NY 11729 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $108 | — | $108 | 0.10% |
| RICHARD STURM3 | 3231 SOUTH HALSTED CHICAGO, IL 60608 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $27 | $74 | $101 | 0.09% |
| STEPHEN M HENSS LLC3 | 44 HERSHEY LANE PARKSBURG, PA 19365 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $76 | $8 | $84 | 0.08% |
| ALEXIS BRIDGEMAN3 | 3160 ROUTE 611 SUITE 202 BARTONSVILLE, PA 18321 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $71 | — | $71 | 0.07% |
| EDWARD P DOUGHERTY INC3 Filed as: EDWARD P. DOUGHERTY | 4550 PRESTWICK DRIVE READING, PA 19606 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $68 | — | $68 | 0.06% |
| C & L REED ASSOCIATES LLC3 | 2911 GLENARDEN DRIVE CHARLESTON, SC 29414 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $40 | — | $40 | 0.04% |
| JOSEPH SCHEIDLER3 | 6953 NORTH COLLEGE AVE INDIANAPOLIS, IN 46220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $23 | — | $23 | 0.02% |
| ROGLE INC3 | 2116 N. PENNSYLVANIA STREET INDIANAPOLIS, IN 46202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | $9 | $23 | 0.02% |
| O'NEIL VOLUNTARY BENEFIT SERVICES3 | 5626 KIRKWOOD HWY WILMINGTON, DE 19808 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | $4 | $21 | 0.02% |
| JUAN J MORENO3 Filed as: JUAN J. MORENO | 21 VICARI WAY LITTLE EGG HARBOR, NJ 08087 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | $2 | $20 | 0.02% |
| ROSALYN GILMORE3 | 3160 ROUTE 611 SUITE 202 BARTONSVILLE, PA 18321 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | $7 | $18 | 0.02% |
| ROTH VOLUNTARY BENEFIT SERVICES INC3 | 9 DEARBORN LANE BEAR, DE 19701 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | — | $17 | 0.02% |
| BRADFORD BOUTILIER3 | 1350 WESTSOUTHPORT ROAD INDIANAPOLIS, IN 46217 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | — | $14 | 0.01% |
| ANZA & ANZA AND ASSOCIATES3 | 1700 PARK AVE WEEHAWKEN, NJ 07086 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $2 | $4 | 0.00% |
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 | 371 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 381 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HORIZON HEALTHCARE SERVICES, INC. | 207 | $1.6M |
| Dental | AETNA LIFE INSURANCE CO. | 371 | $111K |
| Life insurance | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 60 | $109K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 60 | $109K |
| Long-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 60 | $109K |
| Prescription drug | HORIZON HEALTHCARE SERVICES, INC. | 207 | $1.6M |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 60 | $109K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 371 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.