| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CAPACITY BENEFITS & FINANCIAL SERVI3 Filed as: CAPACITY BENEFITS & FINANCIAL SVCS | PO BOX 1689 PEARL RIVER, NY 10965 | OXFORD HEALTH INSURANCE INC | $62K | — | $62K | 5.13% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL SVCS | 354 EISENHOWER PKWY STE 2850 LIVINGSTON, NJ 07039 | OXFORD HEALTH INSURANCE INC | — | $16K | $16K | 1.34% |
| CAPACITY BENEFITS & FINANCIAL SERV3 | 1 INTERNATIONAL BLVD STE 300 MAHWAH, NJ 07495 | GUARDIAN LIFE INSURANCE CO OF AMERICA | $6K | $2K | $8K | 23.00% |
| NRL WEALTH CREATION STRAT3 | 25 CARLE RD 2ND FL WESTBURY, NY 11590 | GUARDIAN LIFE INSURANCE CO OF AMERICA | $113 | — | $113 | 0.33% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BASIL CASTROVINCI ASSOCIATES INC EIN 13-2831500 ADMINISTRATOR | Contract Administrator Service code 13 | 36 HOPATCHUNG RD HOPATCONG, NJ 07843 | $71K |
| ORANSKY, SCARAGGI & BORG EIN 22-3522685 LAWYER | Legal Service code 29 | 175 FAIRFIELD AVE STE 1A WEST CALDWELL, NJ 07007 | $15K |
| BRUNO DIBELLO & CO. LLC EIN 22-2414251 ACCOUNTANT | Accounting (including auditing) Service code 10 | 785 TOTOWA RD TOTOWA, NJ 07512 | $12K |
| COMPOSITION ROOFERS LOCAL 10 EIN 22-1446060 UNION | Plan Administrator Service code 14 | 321 MASON AVE HALEDON, NJ 07508 | $9K |
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 | 92 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 100 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | OXFORD HEALTH INSURANCE INC | 177 | $1.2M |
| Dental | GUARDIAN LIFE INSURANCE CO OF AMERICA | 96 | $34K |
| Vision | GUARDIAN LIFE INSURANCE CO OF AMERICA | 96 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 177 | — |
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.