| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CONNER STRONG & BUCKELEW3 | TRIAD1828 CENTRE 2 COPPER STREET, P.O. BOX 99106 CAMDEN, NJ 08101 | AMERIHEALTH INSURANCE COMPANY | $29K | — | $29K | 4.00% |
| CONNER STRONG & BUCKELEW3 | TRIAD1828 CENTRE, 2 COOPER STREET P.O. BOX 99106 CAMDEN, NJ 08101 | STANDARD INSURANCE COMPANY | $6K | — | $6K | 10.98% |
| ERIN MAUREEN HENSH3 | 64 KERRY LYNN CT WILLIAMSTOWN, NJ 08094 | AFLAC | $194 | $29 | $223 | 2.39% |
| JENNIFER L SAUNDERS3 | 38 LOCUST ROAD VILLAS, NJ 08251 | AFLAC | $188 | $19 | $207 | 2.21% |
| JALEN ANTHONY SAUNDERS3 | 38 LOCUST RD VILLAS, NJ 08251 | AFLAC | $187 | $8 | $195 | 2.09% |
| BERNADETTE E BLACKSTOCK3 | 165 BUTCHES LN FRANKLINVILLE, NJ 08322 | AFLAC | $148 | — | $148 | 1.58% |
| KAREN BECHTELHEIMER3 | 67 STONESHIRE DR GLASSBORO, NJ 08028 | AFLAC | $113 | — | $113 | 1.21% |
| CAROLYN E MORRISON3 | 293 SHELL RD CARNEYS POINT, NJ 08069 | AFLAC | $92 | — | $92 | 0.98% |
| JOHN T CAPOZZI3 | 242 WICKERBERRY DR MIDDLETOWN, DE 19709 | AFLAC | $70 | $16 | $86 | 0.92% |
| BRIAN M LEYPOLDT3 | 67 ALLISON PL EGG HARBOR TWP, NJ 08234 | AFLAC | $80 | — | $80 | 0.86% |
| MICHAEL HENSH3 | 900 LIBERTY PL SICKLERVILLE, NJ 08081 | AFLAC | $54 | $10 | $64 | 0.68% |
| MICHAEL BUTTERFIELD3 | 33 FISHING CREEK RD CAPE MAY COURT HOUSE, NJ 08210 | AFLAC | $45 | — | $45 | 0.48% |
| DARLENE S DILLON3 | 55 E END AVE CARNEYS POINT, NJ 08069 | AFLAC | $35 | — | $35 | 0.37% |
| LORENZO V CUTAIA3 | 123 AZALEA LN EGG HARBOR TOWNSHIP, NJ 08234 | AFLAC | $20 | — | $20 | 0.21% |
| ANDREW PARRA3 | 1762 MIDDLETOWN ROAD GLEN MILLS, PA 19342 | AFLAC | $16 | — | $16 | 0.17% |
| EXCEPTIONAL SERVICES INC3 Filed as: EXCEPTIONAL SERVICES INC. | 158 PRINTERS LN NEW LOND, NC 28127 | AFLAC | $15 | — | $15 | 0.16% |
| JERRY E HOLLAND3 | 5 LAUREL WAY STE 105 BEAR, DE 19701 | AFLAC | $11 | — | $11 | 0.12% |
| DOROTHY M PARRA3 | 33010 AZUA BAY BOYNTON BEACH, FL 33436 | AFLAC | $9 | — | $9 | 0.10% |
| ALBERT SHUST3 | 200 CENTENNIAL AVE STE 105 PISCATAWAY, NJ 08854 | AFLAC | $7 | — | $7 | 0.07% |
| DARLENE S DILLON3 | 120 WOODSIDE RD LEXINGTON, SC 29072 | AFLAC | $6 | — | $6 | 0.06% |
| DARLENE S DILLON3 | 293 SHELL RD CARNEYS POINT, NJ 08069 | AFLAC | $5 | — | $5 | 0.05% |
| DEBORAH S GOLDEN3 Filed as: DEBORAH L POPPERT | 1167 W BALTIMORE PIKE 239 MEDIA, PA 19063 | AFLAC | $5 | — | $5 | 0.05% |
| DOROTHY M PARRA3 | P.O. BOX 48 WALLINGFORD, PA 19086 | AFLAC | $2 | — | $2 | 0.02% |
| TONY J DELBEN3 | 143 SANDREED DR MOORESVILLE, NC 28117 | AFLAC | $2 | — | $2 | 0.02% |
| TIMOTHY MCDERMOTT3 | 29 MAPLE LN MT. ARLINGTON, NJ 07856 | AFLAC | $1 | — | $1 | 0.01% |
| NANCY M ANDERSON3 | 11 CEDAR ST SOMERS POINT, NC 08244 | AFLAC | $1 | — | $1 | 0.01% |
| CONNER STRONG & BUCKELEW3 | TRIAD1828 CENTRE, 2 COOPER STREET P.O. BOX 99106 CAMDEN, NJ 08101 | EYEMED VISION CARE (FIDELITY SECURITY LIFE INSURANCE COMPANY) | $859 | — | $859 | 10.14% |
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 | 113 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 13 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AMERIHEALTH INSURANCE COMPANY | 100 | $741K |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF NEW JERSEY, INC. | 111 | $37K |
| Vision | EYEMED VISION CARE (FIDELITY SECURITY LIFE INSURANCE COMPANY) | 117 | $8K |
| Life insurance | STANDARD INSURANCE COMPANY | 120 | $53K |
| Short-term disability(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 120 | $62K |
| Long-term disability(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 120 | $62K |
| Prescription drug | AMERIHEALTH INSURANCE COMPANY | 100 | $732K |
| Other(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 120 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 120 | — |
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.