| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP INC | 2 AQUARIUM DR STE 200 THE FERRY TERMINAL BUILDING CAMDEN, NJ 081031000 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $668 | $3K | 5.97% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP INC | 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08054 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 8.10% |
| PETERSON DOUGLAS C3 | 598 RIVERWOOD AVE PT PLEASANT, NJ 08742 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 5.85% |
| THOMSON MARISSA DANIELLE3 | 810 ASHLEY AVE BRIELLE, NJ 08730 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $567 | — | $567 | 3.17% |
| KULIKAUSKAS JANE3 | 3022 NESCO RD HAMMONTON, NJ 08037 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $260 | — | $260 | 1.45% |
| ROLLER DAVID3 | 80 DOLPHIN CIRCLE EAST BAYVILLE, NJ 08721 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $206 | — | $206 | 1.15% |
| INFANTE EFREN A3 | 8 BELL CIRCLE MALVERN, PA 19355 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $132 | — | $132 | 0.74% |
| MJ INSURANCE3 Filed as: WIESMORE GREGORY AND VARIOUS AGENTS | 46 FAWN HOLLOW LANE MULLICA HILL, NJ 08062 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $78 | — | $78 | 0.44% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP INC | 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08054 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 10.09% |
| PETERSON DOUGLAS C3 | 598 RIVERWOOD AVE PT PLEASANT, NJ 08742 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 8.12% |
| WIESMORE GREGORY3 | 46 FAWN HOLLOW LANE MULLICA HILL, NJ 08062 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $588 | — | $588 | 4.64% |
| ROLLER DAVID3 | 80 DOLPHIN CIRCLE EAST BAYVILLE, NJ 08721 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $219 | — | $219 | 1.73% |
| THOMSON MARISSA DANIELLE3 | 810 ASHLEY AVE BRIELLE, NJ 08730 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $106 | — | $106 | 0.84% |
| KULIKAUSKAS JANE3 | 3022 NESCO RD HAMMONTON, NJ 08037 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $104 | — | $104 | 0.82% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP LLC. | 2 AQUARIUM DRIVE, SUITE 200 CAMDEN, NJ 08103 | VISION BENEFITS OF AMERICA | $372 | — | $372 | 5.00% |
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 | 123 | 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) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 203 | $55K |
| Vision | VISION BENEFITS OF AMERICA | 80 | $7K |
| Life insurance(2 contracts) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 29 | $31K |
| Other(2 contracts) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 29 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 203 | — |
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.