| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COMTEMPORARY STRATEGIC SOLUTIONS | 19 WILLOW LANE SPRING LAKE HEIGHTS, NJ 07762 | ULLICO LABOR LIFE INSURANCE COMPANY | $29K | — | $29K | 12.80% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INSURANCE DESIGN ADMINISTRATORS EIN 13-3155962 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $613K |
| SPECIALIZED PHARMACY SOLUTIONS EIN 86-1061619 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $339K |
| DELTA DENTAL OF NEW JERSEY, LLC EIN 22-1896118 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $312K |
| ROBIN MODZELEWSKI EIN 22-1736275 EMPLOYEE | Plan Administrator; Direct payment from the plan; Employee (plan) Service code 14 | — | $135K |
| COMERICA BANK EIN 38-2028794 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $122K |
| FIRST STATE TRUST COMPANY EIN 13-3124172 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $106K |
| EMPIRX NONE | Direct payment from the plan; Claims processing Service code 12 | 155 CHESTNUT RIDGE RD MONTVALE, NJ 07645 | $102K |
| MARIA GARATE EIN 22-1736275 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| 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 | — | $62K |
| BARATZ & ASSOCIATES, P.A. EIN 22-2212404 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $50K |
| JANNEY MONTGOMERY SCOTT EIN 22-1736275 NONE | Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Investment management; Custodial (securities) Service code 19 | — | $49K |
| SPECIALIZED COMPUTER RESOURCES INC NONE | Consulting fees; Consulting (general) Service code 16 | 385 FRANKLIN TURNPIKE 201-825-5800 ALLENDALE, NJ 07401 | $25K |
| VANDA NENO EIN 22-1736275 EMPLOYEE | Plan Administrator; Direct payment from the plan; Employee (plan) Service code 14 | — | $23K |
| SUMMIT ACTURIAL SERVICES LLC EIN 20-3838633 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $20K |
| JBM COMPUTER CONSULTANTS, INC. EIN 16-1173118 NONE | Consulting (general); Consulting fees Service code 16 | — | $9K |
| METS SHIRO & MCGOVERN EIN 75-3116930 NONE | Legal; Direct payment from the plan Service code 29 | — | $6K |
| PAYER MATRIX NONE | Claims processing; Direct payment from the plan Service code 12 | 407 ELMWOOD AVE SHARON HILL, PA 19079 | $4K |
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 | 658 | 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) | 658 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF NEW JERSEY, INC | 733 | $312K |
| Life insurance(2 contracts, 2 carriers) | ULLICO LABOR LIFE INSURANCE COMPANY | 696 | $252K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 733 | — |
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.