| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COTTINGHAM & BUTLER3 | 800 MAIN STREET PO BOX 28 DUBUQUE, IA 52004 | NETWORK HEALTH PLAN | $24K | — | $24K | 2.93% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM & BUTLER INSURANCE SERVI | 800 MAIN STREET DUBUQUE, IA 52004 | DELTA DENTAL OF NJ, INC. | $21K | — | $21K | 9.92% |
| EMPLOYEE BENEFIT PLANNING CONSULTAN3 | 290 WEST MONT PLEASANT AVE. LIVINGSTON, NJ 07039 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | — | $7K | 4.98% |
| MSM GENERAL AGENCY INC3 Filed as: MSM GENERAL AGENCY | 2300 HYLAND BLVD. STE 2 STATEN ISLAND, NY 10306 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | — | $7K | 4.84% |
| JBN BENEFITS CONSULTANTS LLC3 | 290 W MOUNT PLEASANT AVE STE 2300 LIVINGSTON, NJ 070392764 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | — | $7K | 4.84% |
| COTTINGHAM & BUTLER3 | 800 MAIN ST DUBUQUE, IA 52001 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN, INC | $2K | — | $2K | 6.96% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM & BUTLER INS SVCS | 800 MAIN ST DUBUQUE, IA 52001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $167 | — | $167 | 10.46% |
| MORGAN PERRI3 | 40 LEXINGTON AVENUE MARLTON, NJ 08053 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $92 | $27 | $119 | 7.45% |
| JOSEPH DAVIS3 | 65 MECHANIC STREET SUITE 205 RED BANK, NJ 07731 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $66 | — | $66 | 4.13% |
| CAMERON SUTTON ROBERTS3 | N9404 ROSELLA DRIVE APPLETON, WI 54914 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $44 | $20 | $64 | 4.01% |
| LISA A PERRI3 | 775 ROUTE 70 EAST MARLTON, NJ 08053 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | — | $15 | $15 | 0.94% |
| HELEN DIZ-HATTON3 | 4 PALMER LANE ENGLISHTOWN, NJ 07726 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.31% |
| SALATHIEL MALDONADO3 | 3717 CYPRESS AVE BROOKLYN, NY 11224 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.06% |
| BRIAN THOMAS CULLEN3 | 370 LEXINGTON AVENUE NEW YORK, NY 10017 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.06% |
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 | 249 | 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) | 249 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | NETWORK HEALTH PLAN | 177 | $1.6M |
| Dental | DELTA DENTAL OF NJ, INC. | 224 | $208K |
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN, INC | 366 | $28K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 249 | $149K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 249 | $149K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 249 | $149K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 249 | $151K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 366 | — |
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."
No prospect flags tripped on this filing.