| 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 | $38K | — | $38K | 3.60% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS GENERAL AG | 400 BERWYN PARK, SUITE 200 BERWYN, PA 19312 | AMERIHEALTH INSURANCE COMPANY | $3K | — | $3K | 0.32% |
| CONNER STRONG & BUCKELEW3 | PO BOX 99106 CAMDEN, NJ 08101 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | — | $5K | 8.34% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN METRO LLC | 3330 BARGAINTOWN RD STE 2 EGG HARBOR TOWNSHIP, NJ 08101 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | — | $1K | 2.13% |
| C2 CENTRIC LLC3 | PO BOX 6824 GRAND RAPIDS, MI 49516 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $217 | $217 | 0.37% |
| CONNER STRONG & BUCKELEW3 | PO BOX 99106 CAMDEN, NJ 08101 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $712 | — | $712 | 8.35% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN METRO, LLC | 3330 BARGAINTOWN ROAD, SUITE 2 EGG HARBOR TWP, NJ 08234 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $138 | — | $138 | 1.62% |
| JENNIFER L SAUNDERS3 | PO BOX 76 VILLAS, NJ 08251 | AFLAC | $98 | — | $98 | 2.55% |
| BRIAN M LEYPOLDT3 | 67 ALLISON PL EGG HARBOR TWP, NJ 08234 | AFLAC | $48 | — | $48 | 1.25% |
| CAROLYN E MORRISON3 | 118 WOODSIDE RD LEXINGTON, NJ 29072 | AFLAC | $34 | — | $34 | 0.88% |
| BERNADETTE E BLACKSTOCK3 | 165 BUTCHES LN FRANKLINVILLE, NJ 08322 | AFLAC | $32 | — | $32 | 0.83% |
| MICHAEL BUTTERFIELD3 | 33 FISHING CREEK RD CAPE MAY COURT HOUSE, NJ 08210 | AFLAC | $27 | — | $27 | 0.70% |
| BERNADETTE E BLACKSTOCK3 | 305 FIRETHORNE CT SEWELL, NJ 08080 | AFLAC | $26 | — | $26 | 0.68% |
| DARLENE S DILLON3 Filed as: DARLENE DILLON | 120 WOODSIDE RD LEXINGTON, SC 29072 | AFLAC | $17 | — | $17 | 0.44% |
| ANDREW PARRA3 | 1762 MIDDLETOWN ROAD GLEN MILLS, PA 19342 | AFLAC | $16 | — | $16 | 0.42% |
| JOHN T CAPOZZI3 | 242 WICKERBERRY DR MIDDLETOWN, DE 19709 | AFLAC | $13 | — | $13 | 0.34% |
| DOROTHY M PARRA3 | 33010 AZUA BAY BOYNTON BEACH, FL 33436 | AFLAC | $11 | — | $11 | 0.29% |
| EXSEPTIONAL SERVICES INC3 Filed as: EXSEPTIONAL SERVICES INC. | 158 PRINTERS LN NEW LONDON, NC 28127 | AFLAC | $7 | — | $7 | 0.18% |
| JERRY E HOLLAND3 | 5 LAUREL WAY BEAR, DE 19701 | AFLAC | $6 | — | $6 | 0.16% |
| DEBORAH S GOLDEN3 Filed as: DEBORAH L POPPERT | 1167 W BALTIMORE PIKE 239 MEDIA, PA 19063 | AFLAC | $2 | — | $2 | 0.05% |
| TONY J DELBEN3 Filed as: TONY DELBEN | 143 SANDREED DR MOORESVILLE, NC 28117 | AFLAC | $2 | — | $2 | 0.05% |
| LORENZO V CUTAIA3 | 123 AZALEA LN EGG HARBOR TOWNSHIP, NJ 08234 | AFLAC | $1 | — | $1 | 0.03% |
| JALEN ANTHONY SAUNDERS3 | 205 ROSE LN VILLAS, NJ 08251 | AFLAC | $0 | — | $0 | 0.00% |
| NANCY M ANDERSON3 | 11 CEDAR CT SOMERS POINT, NJ 08244 | AFLAC | $0 | — | $0 | 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 | 145 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 145 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AMERIHEALTH INSURANCE COMPANY | 104 | $1.1M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF NEW JERSEY, INC. | 116 | $39K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 127 | $9K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 145 | $58K |
| Short-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 145 | $62K |
| Long-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 145 | $62K |
| Prescription drug | AMERIHEALTH INSURANCE COMPANY | 104 | $1.0M |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 145 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 145 | — |
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.