| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SELF-FUNDED BENEFITS, INC DBA IDA | 111 BAUER DR OAKLAND, NJ 07762 | ULLICO LABOR LIFE INSURANCE COMPANY | $30K | — | $30K | 10.00% |
| COMTEMPORARY STRATEGIC SOLUTIONS | 19 WILLOW LANE SPRING LAKE HEIGHTS, NJ 07762 | ULLICO LABOR LIFE INSURANCE COMPANY | $6K | — | $6K | 2.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INSURANCE DESIGN ADMINISTRATORS EIN 13-3155962 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $702K |
| EMPIRX NONE | Claims processing; Direct payment from the plan Service code 12 | 155 CHESTNUT RIDGE RD MONTVALE, NJ 07645 | $423K |
| DELTA DENTAL OF NEW JERSEY, LLC EIN 22-1896118 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $241K |
| JANNEY MONTGOMERY SCOTT EIN 22-1736275 NONE | Investment management; Custodial (securities); Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 19 | — | $151K |
| FIRST STATE TRUST COMPANY EIN 13-3124172 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $133K |
| RBC WEALTH MANAGEMENT EIN 41-1416330 NONE | Investment management; Investment management fees paid indirectly by plan; Investment management fees paid directly by plan Service code 28 | — | $133K |
| VANDA NENO EIN 22-1736275 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $106K |
| MARIA GARATE EIN 22-1736275 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| BARATZ & ASSOCIATES, P.A. EIN 22-2212404 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $64K |
| SPECIALIZED COMPUTER RESOURCES INC NONE | Consulting fees; Consulting (general) Service code 16 | 385 FRANKLIN TURNPIKE 201-825-5800 ALLENDALE, NJ 07401 | $30K |
| JBM COMPUTER CONSULTANTS, INC. EIN 16-1173118 NONE | Consulting fees; Consulting (general) Service code 16 | — | $28K |
| SUMMIT ACTURIAL SERVICES LLC EIN 20-3838633 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $20K |
| COMERICA BANK EIN 38-2028794 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $18K |
| PERFECT PRINTING SOLUTIONS EIN 47-4140223 NONE | Other services Service code 49 | — | $10K |
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 | 727 | 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) | 727 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF NEW JERSEY, INC | 1,147 | $336K |
| Life insurance(2 contracts, 2 carriers) | ULLICO LABOR LIFE INSURANCE COMPANY | 727 | $321K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,147 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.