| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | HORIZON HEALTHCARE SERVICES, INC. | $117K | — | $117K | 3.00% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | DELTA DENTAL OF NJ, INC. | $8K | — | $8K | 2.99% |
| CORPORATE SYNERGIES GROUP LLC3 | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | WESCO INSURANCE COMPANY | $6K | — | $6K | 4.50% |
| CORPORATE SYNERGIES GROUP LLC3 | 5000 DEARBORN CIRCLE SUITE 100 MOUNT LAUREL, NJ 08054 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | — | $4K | 4.03% |
| CORPORATE SYNERGIES GROUP LLC3 | PO BOX 654118 DALLAS, TX 75265 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $818 | $6K | 8.56% |
| CORPORATE SYNERGIES GROUP LLC3 | PO BOX 654118 DALLAS, TX 752654118 | VISION SERVICE PLAN | $2K | — | $2K | 3.29% |
| CORPORATE SYNERGIES GROUP LLC3 | PO BOX 654118 DALLAS, TX 75265 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $8K | $528 | $8K | 15.85% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW JERSEY INC | 150 JOHN F KENNEDY PKWY, STE 520 PO BOX 5002 SHORT HILLS, NJ 07078 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $124 | — | $124 | 0.24% |
| ROSE M SUDANO3 | 74 KNOX LANE MANALAPAN, NJ 07726 | AFLAC | $2K | — | $2K | 6.32% |
| MITCHELL N HNATT3 | ATTN MVH LLC 2164 ROUTE 35 2ND FLOOR BLDG D SEA GIRT, NJ 08750 | AFLAC | $1K | — | $1K | 2.84% |
| FINANCIAL RESOURCES OF KANSAS CITY3 Filed as: FINANCIAL RESOURCES GROUP LLC | 2901 COLTSGATE RD CHARLOTTE, NC 28211 | AFLAC | $639 | — | $639 | 1.72% |
| ALBERT SHUST3 | 200 CENTENNIAL AVE STE 105 PISCATAWAY, NJ 08854 | AFLAC | $398 | — | $398 | 1.07% |
| MICHAEL BUTTERFIELD3 | 34 MAIN STREET SUITE 1B TOMS RIVER, NJ 08753 | AFLAC | $363 | — | $363 | 0.98% |
| ADAM MAGGIO3 | 1450 GARDEN STREET HOBOKEN, NJ 07030 | AFLAC | $345 | — | $345 | 0.93% |
| CHRISTOPHER J BURRIS3 | 26 MAIN STREET SUITE 100 TOMS RIVER, NJ 08753 | AFLAC | $322 | — | $322 | 0.87% |
| RACHAEL FERRANTE3 | 44 BERKSHIRE DRIVE HOWELL, NJ 07731 | AFLAC | $101 | — | $101 | 0.27% |
| GAIL R BERGER3 | 118 TOWER HILL DRIVE RED BANK, NJ 07701 | AFLAC | $27 | — | $27 | 0.07% |
| VIRGINIA HNATT3 | 837 SOUTH DRIVE BRICK, NJ 08724 | AFLAC | $18 | — | $18 | 0.05% |
| DOUGLAS MARTIN3 | 11 ALEXIS DRIVE FARMINGDALE, NJ 07727 | AFLAC | $14 | — | $14 | 0.04% |
| EDWARD P LYNCH3 | 1020 STANTON AVE ELIZABETH, NJ 07208 | AFLAC | $10 | — | $10 | 0.03% |
| ELIZABETH BARNES3 | 1180 SAWMILL ROAD BRICK, NJ 08724 | AFLAC | $2 | — | $2 | 0.01% |
| CORPORATE SYNERGIES GROUP LLC3 | PO BOX 654118 DALLAS, TX 75265 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $137 | — | $137 | 3.16% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW JERSEY INC | 150 JOHN F KENNEDY PKWY, STE 520 PO BOX 5002 SHORT HILLS, NJ 07078 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $20 | — | $20 | 0.46% |
| HOUSEN FINANCIAL GROUP INC.3 | 229 EAST MAIN STREET MANASQUAN, NJ 08736 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $9 | — | $9 | 0.21% |
| CORPORATE SYNERGIES GROUP LLC3 | PO BOX 654118 DALLAS, TX 75265 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 53.71% |
| SMITH, THOMAS, CHRISTOPHER3 | 2928 FOSTER CREIGHTON DRIVE NASHVILLE, TN 37204 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $934 | — | $934 | 23.02% |
| CORPORATE SYNERGIES GROUP LLC3 | PO BOX 654118 DALLAS, TX 75265 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 45.50% |
| SMITH, THOMAS, CHRISTOPHER3 | 2928 FOSTER CREIGHTON DRIVE NASHVILLE, TN 37204 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $554 | $51 | $605 | 21.29% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW JERSEY INC | 150 JOHN F KENNEDY PKWY, STE 520 PO BOX 5002 SHORT HILLS, NJ 07078 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $110 | — | $110 | — |
| CORPORATE SYNERGIES GROUP LLC3 | PO BOX 654118 DALLAS, TX 75265 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $21 | — | $21 | — |
| HOUSEN FINANCIAL GROUP INC.3 Filed as: HOUSEN FINANCIAL GROUP INC | 229 EAST MAIN STREET MANASQUAN, NJ 08736 | UNUM LIFE INSURANCE COMPANY OF AMERICA | -$247 | — | -$247 | — |
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 | 398 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 10 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 419 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HORIZON HEALTHCARE SERVICES, INC. | 271 | $3.9M |
| Dental | DELTA DENTAL OF NJ, INC. | 292 | $276K |
| Vision | VISION SERVICE PLAN | 269 | $62K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 329 | $96K |
| Short-term disability | WESCO INSURANCE COMPANY | 405 | $142K |
| Long-term disability(4 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 326 | $121K |
| Prescription drug | HORIZON HEALTHCARE SERVICES, INC. | 271 | $3.9M |
| Other(5 contracts, 5 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 385 | $153K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 405 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.