| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SELF-FUNDED BENEFITS, INC DBA IDA Filed as: SELF FUNDED BENEFITS, INC DBA IDA | 153 BAUER DR OAKLAND, NJ 07436 | HCC LIFE INSURANCE COMPANY | $24K | — | $24K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SPECIALIZED PHARMACY SOLUTIONS EIN 86-1061619 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $725K |
| INSURANCE DESIGN ADMINISTRATORS EIN 13-3155962 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $593K |
| DELTA DENTAL OF NEW JERSEY, LLC EIN 22-1896118 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $253K |
| ROBIN MODZELEWSKI EIN 22-1736275 EMPLOYEE | Employee (plan); Direct payment from the plan; Plan Administrator Service code 14 | — | $121K |
| RBC WEALTH MANAGEMENT EIN 41-1416330 NONE | Investment management fees paid indirectly by plan; Investment management; Investment management fees paid directly by plan Service code 28 | — | $91K |
| PAYER MATRIX NONE | Direct payment from the plan; Claims processing Service code 12 | 407 ELMWOOD AVE SHARON HILL, PA 19079 | $77K |
| MARIA GARATE EIN 22-1736275 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $64K |
| BARATZ & ASSOCIATES, P.A. EIN 22-2212404 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $47K |
| JOHN HUMPHREY EIN 22-1736275 TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $20K |
| SUMMIT ACTURIAL SERVICES LLC EIN 20-3838633 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $20K |
| SPECIALIZED COMPUTER RESOURCES INC NONE | Consulting fees; Consulting (general) Service code 16 | 385 FRANKLIN TURNPIKE 201-825-5800 ALLENDALE, NJ 07401 | $17K |
| MERRILL LYNCH EIN 13-5674085 NONE | Investment management fees paid directly by plan; Investment management fees paid indirectly by plan; Investment management Service code 28 | — | $17K |
| METS SHIRO & MCGOVERN EIN 75-3116930 NONE | Legal; Direct payment from the plan Service code 29 | — | $12K |
| COMERICA BANK EIN 38-2028794 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $10K |
| JBM COMPUTER CONSULTANTS, INC. EIN 16-1173118 NONE | Consulting (general); Consulting fees Service code 16 | — | $9K |
| FIRST STATE TRUST COMPANY EIN 13-3124172 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $7K |
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 | 583 | 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) | 583 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | AMALGAMATED LIFE | 813 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 813 | — |
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.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.