| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: BOLTON PARTNERS | 325 SENTRY PARKWAY EAST, BLDG 5 BLUE BELL, PA 19422 | THE UNION LABOR LIFE INSURANCE COMPANY | $19K | — | $19K | 3.50% |
| RISK STRATEGIES COMPANY3 | 645 MARTINSVILLE ROAD, 310 BASKING RIDGE, NJ 07920 | FEDERAL INSURANCE COMPANY | $4K | — | $4K | 17.81% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HORIZON BLUE CROSS BLUE SHIELD EIN 22-1412244 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $390K |
| LABOR FIRST MEDICAL COVERAGE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 3000 MIDLANTIC DRIVE STE 101 MOUNT LAUREL, NJ 08054 | $245K |
| KIM E. DEVIZIO EIN 22-1516999 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 136 MOUNT BETHEL ROAD WARREN, NJ 07060 | $122K |
| MARTA K TIRTADJAJA EIN 22-1516999 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 136 MOUNT BETHEL ROAD WARREN, NJ 07060 | $81K |
| LORRIE RAMSEY EIN 22-1516999 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 136 MOUNT BETHEL ROAD WARREN, NJ 07060 | $71K |
| MSPC CPAS & ADVISORS, P.C. EIN 22-2951202 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 340 NORTH AVE CRANFORD, NJ 07016 | $66K |
| LINDABURY MCCORMICK ESTABROOK EIN 22-1943351 NONE | Legal; Direct payment from the plan Service code 29 | 53 CARDINAL DRIVE WESTFIELD, NJ 10122 | $64K |
| MR. MICROCHIP SOFTWARE CENTER NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 1975 HEMPSTEAD TPKE, SUITE 406 EAST MEADOW, NY 11554 | $39K |
| BOLTON PARTNERS NONE | Actuarial; Direct payment from the plan Service code 11 | 2277 STATE HWY 33, SUITE 409 TRENTON, NJ 08690 | $32K |
| PRUDENTIAL RETIREMENT INS & ANN CO. EIN 06-1050034 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 280 TRUMBULL STREET HARTFORD, CT 06103 | $23K |
| LARRY MAGARIK, ESQ NONE | Legal; Direct payment from the plan Service code 29 | 80 EIGHTH AVENUE, SUITE 901 NEW YORK, NY 100117175 | $17K |
| J2 GLOBAL INC. D/B/A KEEPITSAFE NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | P.O. BOX 101672 PASADENA, CA 911891672 | $12K |
| OPTUM RX PRESCRIPTION PROVIDER | Direct payment from the plan; Insurance agents and brokers Service code 22 | 11000 OPTUM CIRCLE EDEN PRAIRIE, MN 55344 | $10K |
| REYNOLDS CONSULTING SERVICES, LLC NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 25 NEWBRIDGE ROAD HICKSVILLE, NY 11801 | $5K |
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 | 394 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 425 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 819 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 518 | $549K |
| Other(2 contracts, 2 carriers) | SIERRA HEALTH & LIFE INSURANCE COMPANY, INC | 508 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 518 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.