| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER-TIFFANY BENEFITS CO. | 400 BERWYN PARK SUITE 200 BERWYN, PA 19312 | DELTA DENTAL OF NJ, INC. | $9K | — | $9K | 1.36% |
| USI INSURANCE SERVICES LLC3 Filed as: USI MIDATLANTIC INC. | 630 WEST GERMANTOWN PIKE SUITE 200 PLYMOUTH MEETING, PA 19462 | DELTA DENTAL OF NJ, INC. | $8K | — | $8K | 1.21% |
| USI INSURANCE SERVICES LLC3 Filed as: USI MIDATLANTIC INC. | 630 WEST GERMANTOWN PIKE SUITE 200 PLYMOUTH MEETING, PA 194621059 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $14K | — | $14K | 6.84% |
| EMERSON REID LLC3 Filed as: EMERSON REID LLC. | 261 MADISON AVENUE SUITE 602 NEW YORK, NY 10016 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $7K | $7K | 3.42% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS COMPANY | 400 BERWYN PARK SUITE 200, 899 CASSATT ROAD BERWYN, PA 19312 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | — | $7K | 3.16% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURACE SERVICES LLC | 1787 SENTRY PARKWAY W SUITE 300 BLUE BELL, PA 19422 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $9K | — | $9K | 7.40% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER-TIFFANY BENEFITS CO. | 400 BERWYN PARK SUITE 200899 CASSATT ROAD BERWYN, PA 19312 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 3.42% |
| ANGELA T HAMILTON3 Filed as: ANGELA T. HAMILTON | 2116 MAGNOLIA COURT CINNAMINSON, NJ 08077 | AFLAC | $10K | $469 | $10K | 8.53% |
| RANDOLPH HAMILTON3 | 2116 MAGNOLIA COURT CINNAMINSON, NJ 08077 | AFLAC | $6K | $123 | $6K | 5.22% |
| DARLENE S DILLON3 Filed as: DARLENE S. DILLON | 282 SHELL ROAD CARNEYS POINT, NJ 08069 | AFLAC | $2K | — | $2K | 1.86% |
| JOSE A SCHIENEMAN3 Filed as: JOSE SCHIENEMAN | 1020 NORTH DELAWARE AVENUE 4TH FLOOR PHILADELPHIA, PA 19125 | AFLAC | $2K | $125 | $2K | 1.85% |
| CAROLYN E MORRISON3 Filed as: CAROLYN E. ABERNATHY | 55 EAST END AVENUE CARNEYS POINT, NJ 08069 | AFLAC | $2K | $124 | $2K | 1.36% |
| CIRO ABRIL3 | 18 BRACKEN COURT HOWELL, NJ 07731 | AFLAC | $806 | — | $806 | 0.66% |
| MATTHEW G BERGER3 Filed as: MATTHEW G. BERGER | 22 SUNNYRIDGE ROAD PHILADELPHIA, PA 19125 | AFLAC | $464 | $125 | $589 | 0.49% |
| THOMAS J POPPERT3 Filed as: THOMAS J. POPPERT | 1001 RAY COSTIN WAY UNIT 1601 MURRELS INLET, SC 29576 | AFLAC | $390 | — | $390 | 0.32% |
| VICTOR M VELEZ3 Filed as: VICTOR M. VELEZ | 401 CUMBRIAN COURT WEST CHESTER, PA 19382 | AFLAC | $297 | $31 | $328 | 0.27% |
| ANNA REIS3 Filed as: ANNA M. REIS | 603 HAZELWOOD LANE MARLTON, NJ 08053 | AFLAC | $136 | — | $136 | 0.11% |
| ERIC R MACDOUGALL3 Filed as: ERIC MACDOUGALL & ASSOC. INC. | ONE NESHAMINY INTERPLEX SUITE 201 TREVOSE, PA 19053 | AFLAC | $129 | — | $129 | 0.11% |
| DEBORAH S GOLDEN3 Filed as: DEBORAH L. POPPERT | 1001 RAY COSTIN WAY UNIT 1601 MURRELLS INLET, SC 28210 | AFLAC | $115 | — | $115 | 0.09% |
| MARGIE MCMOORE3 | 10032 OAKBROOK DRIVE APT D CHARLOTTE, NC 28210 | AFLAC | $110 | — | $110 | 0.09% |
| RACHEL THORPE3 Filed as: RACHEL L. THORPE | 200 ROWLAND PARK BLVD WILMINGTON, DE 19803 | AFLAC | $42 | — | $42 | 0.03% |
| THOMAS J POPPERT3 Filed as: THOMAS J. POPPERT | 1762 MIDDLETOWN ROAD GLEN MILLS, PA 19342 | AFLAC | $35 | — | $35 | 0.03% |
| KAY S WASHINGTON3 Filed as: KAY S. WASHINGTON | 651 EAST TOWNSHIP LINE ROAD P.O. BOX 762 BLUE BELL, PA 19422 | AFLAC | $25 | — | $25 | 0.02% |
| BRIAN WHITE3 Filed as: BRIAN HENRY CIESLAK | 900 LIBERTY PLACE SICKLERVILLE, NJ 08081 | AFLAC | $23 | — | $23 | 0.02% |
| MG BERGER INC3 Filed as: MG BERGER INC. | 1020 NORTH DELAWARE AVENUE SUITE 4 PHILADELPHIA, PA 19125 | AFLAC | $15 | — | $15 | 0.01% |
| MICHAEL BUTTERFIELD3 | 3120 FIRE ROAD SUITE B102 EGG HARBOR TOWNSHIP, NJ 08234 | AFLAC | $14 | — | $14 | 0.01% |
| DAVID ROTH3 Filed as: DAVID G. ZICK | 30800 TELEGRAPH ROAD SUITE 3800 BINGHAM FARMS, MI 48025 | AFLAC | $13 | — | $13 | 0.01% |
| RITA M HERINGTON3 Filed as: RITA M. HERINGTON | P.O. BOX 48 WALLINGFORD, PA 19086 | AFLAC | $13 | — | $13 | 0.01% |
| PAULA EDMOND3 Filed as: PAULA M. EDMOND | 5 TREATY ELM LANE SHAMONG, NJ 08088 | AFLAC | $13 | — | $13 | 0.01% |
| GEORGE J CERCEO3 Filed as: GEORGE J. CERCEO | 4108 MILLTOWN TRAIL DOWNINGTOWN, PA 19335 | AFLAC | $12 | — | $12 | 0.01% |
| PAUL D. PRISCO3 | 4033 MEDLIN AVENUE WAKE FOREST, NC 27587 | AFLAC | $12 | — | $12 | 0.01% |
| ANNA REIS3 | 9 LONGLEAF DRIVE HAMILTON, NJ 08690 | AFLAC | $9 | — | $9 | 0.01% |
| LORENZO V CUTAIA3 Filed as: LORENZO V. CUTAIA | 123 AZALEA LANE EGG HARBOR TOWNSHIP, NJ 08234 | AFLAC | $9 | — | $9 | 0.01% |
| LYNN A GOULD3 Filed as: LYNN A. GOULD | 210 LEXINGTON DRIVE LITTLE EGG HARBOR, NJ 08087 | AFLAC | $9 | — | $9 | 0.01% |
| KATHLEEN M KONEGAN3 Filed as: KATHLEEN M. KONEGAN | 3050 HIGHWOODS DRIVE ASTON, PA 19014 | AFLAC | $7 | — | $7 | 0.01% |
| ALAN BERGMANN3 | 284 TWIN PONDS DRIVE OKEMOS, MI 48864 | AFLAC | $7 | — | $7 | 0.01% |
| EXSEPTIONAL SERVICES INC3 Filed as: EXSEPTIONAL SERVICES INC. | 158 PRINTERS LANE NEW LONDON, NC 28127 | AFLAC | $6 | — | $6 | 0.00% |
| HERBERT G. HUMMEL3 | 139 HEATHER DRIVE NEW HOPE, PA 18938 | AFLAC | $6 | — | $6 | 0.00% |
| CAESAR D WILLIAMS JR3 Filed as: CAESAR D. WILLIAMS JR. | 123 SOUTH BROAD STREET SUITE 1640 PHILADELPHIA, PA 19109 | AFLAC | $5 | — | $5 | 0.00% |
| KAY S WASHINGTON3 Filed as: KAY S. WASHINGTON | 2609 DEKALB PIKE APT 408 EAST NORRITON, PA 19401 | AFLAC | $5 | — | $5 | 0.00% |
| JEFFREY C WERNER3 Filed as: JEFFREY WERNER LLC. | 18096 TRUDY DRIVE SPRING LAKE, MI 49456 | AFLAC | $4 | — | $4 | 0.00% |
| TONY J DELBEN3 Filed as: TONY J. DELBEN | 143 SANDREED DRIVE MOORESVILLE, NC 28117 | AFLAC | $3 | — | $3 | 0.00% |
| JOHN H DILLON3 Filed as: JOHN H. DILLON | 69 EAST END AVENUE CARNEYS POINT, NJ 08069 | AFLAC | $3 | — | $3 | 0.00% |
| ALBERT SHUST3 | 200 CENTENNIAL AVENUE SUITE 105 PISCATAWAY, NJ 08854 | AFLAC | $2 | — | $2 | 0.00% |
| BRIAN M LEYPOLDT3 Filed as: BRIAN M. LEYPOLDT | 67 ALLISON PLACE EGG HARBOR TOWNSHIP, NJ 08234 | AFLAC | $2 | — | $2 | 0.00% |
| MICHAEL J SHIOMOS3 Filed as: MICHAEL J. SHIOMOS | 44 MONROE DRIVE CLEMENTON, NJ 08021 | AFLAC | $2 | — | $2 | 0.00% |
| MARYANN M MEYERS3 Filed as: MARYANN MYERS | 6704 PLEASURE AVENUE SUITE B SEA ISLE CITY, NJ 08243 | AFLAC | $1 | — | $1 | 0.00% |
| MICHAEL J PERRI3 Filed as: MICHAEL J. PERRI | 775 ROUTE 70 EAST MARLTON, NJ 08053 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $4K | $11K | 25.56% |
| CONNER STRONG & BUCKELEW3 Filed as: CONNOR STRONG & BUCKELEW | 401 ROUTE 73 NORTH P.O. BOX 989 MARLTON, NJ 08053 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9K | — | $9K | 20.53% |
| LISA A PERRI3 Filed as: LISA A. PERRI | 775 ROUTE 70 EAST MARLTON, NJ 08053 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $965 | $5K | 12.20% |
| MORGAN PERRI3 | 40 LEXINGTON CIRCLE MARLTON, NJ 08053 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $390 | $4K | 9.60% |
| TAYLOR LEIGH PERRI3 | 775 ROUTE 70 EAST MARLTON, NJ 08053 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $252 | $3K | 6.86% |
| ADRIANNA TRAVARELLI BURMEISTER3 | 1 DONS WAY SOUTHAMPTON, NJ 08088 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $51 | $24 | $75 | 0.17% |
| USI INSURANCE SERVICES LLC3 | 1787 SENTRY PARKWAY W SUITE 300 BLUE BELL, PA 19422 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 11.18% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER-TIFFANY BENEFITS CO. | 400 BERWYN PARK SUITE 200899 CASSATT ROAD BERWYN, PA 19312 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 5.06% |
| USI INSURANCE SERVICES LLC3 | 1787 SENTRY PARKWAY W SUITE 300 BLUE BELL, PA 19422 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $78 | — | $78 | 7.79% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER-TIFFANY BENEFITS CO. | 400 BERWYN PARK SUITE 200899 CASSATT ROAD BERWYN, PA 19312 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $32 | — | $32 | 3.20% |
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 | 1,860 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,863 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AFLAC | 215 | $166K |
| Dental | DELTA DENTAL OF NJ, INC. | 1,099 | $676K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,860 | $143K |
| Short-term disability | AFLAC | 215 | $121K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,811 | $207K |
| Other(4 contracts, 3 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,860 | $196K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,860 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.