| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CAPACITY BENEFITS & FINANCIAL SERV3 | 1 INTERNATIONAL BLVD MAHWAH, NJ 07495 | AETNA | $43K | — | $43K | 4.02% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS FINANCIAL SERV | 12404 PARK CENTRAL DR DALLAS, TX 75251 | AETNA | $10K | — | $10K | 0.91% |
| CAPACITY BENEFITS & FINANCIAL SERVI3 Filed as: CAPACITY BENEFITS AND FINANCIAL SER | 1 INTERNATIONAL BLVD MAHWAH, NJ 07495 | GUARDIAN LIFE INSURANCE CO OF AMERICA | $5K | $1K | $6K | 20.87% |
| NRL WEALTH CREATION STRAT3 | 25 CARLE RD 2ND FL WESTBURY, NY 11590 | GUARDIAN LIFE INSURANCE CO OF AMERICA | $124 | — | $124 | 0.40% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMPOSITION ROOFERS LOCAL 10 EIN 22-1446060 UNION | Plan Administrator Service code 14 | 321 MASON AVE HALEDON, NJ 07508 | $35K |
| BASIL CASTROVINCI ASSOCIATES INC EIN 13-2831500 ADMINISTRATOR | Contract Administrator Service code 13 | 36 HOPATCHUNG RD HOPATCONG, NJ 07843 | $29K |
| BRUNO DIBELLO & CO. LLC EIN 22-2414251 ACCOUNTANT | Accounting (including auditing) Service code 10 | 785 TOTOWA RD TOTOWA, NJ 07512 | $14K |
| ORANSKY, SCARAGGI & BORG EIN 22-3522685 LAWYER | Legal Service code 29 | 175 FAIRFIELD AVE STE 1A WEST CALDWELL, NJ 07007 | $14K |
| BELINDA BONNANO EIN 22-3242464 OFFICE HELP | Employee (plan) Service code 30 | 11 BOBOLINK CT WAYNE, NJ 07470 | $14K |
| BELINDA BONNANO 22-3242464 | Other fees Service code 99 | — | $0 |
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 | 94 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 107 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | AETNA | 74 | $1.1M |
| Dental | GUARDIAN LIFE INSURANCE CO OF AMERICA | 94 | $31K |
| Vision | GUARDIAN LIFE INSURANCE CO OF AMERICA | 94 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 94 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.