| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CONNER STRONG & BUCKELEW3 | TRIAD1828 CENTRE 2 COOPER STREET, P.O. BOX 99106 CAMDEN, NJ 08101 | DELTA DENTAL OF NEW JERSEY, INC. | $9K | — | $9K | 3.81% |
| WALTER WOLAK3 | 220 GIBRALTAR RD HORSHAM, PA 19044 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $38K | — | $38K | 20.00% |
| CONNER STRONG & BUCKELEW3 | TRIAD1828 CENTRE 2 COOPER STREET, P.O. BOX 99106 CAMDEN, NJ 08101 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | — | $8K | 4.98% |
| DYLAN FRANCIS MONTEFORTE3 Filed as: DYLAN MONTEFORTE | 13 EAGLE NEST RD COLTS NECK, NJ 07722 | AFLAC | $6K | $430 | $6K | 7.57% |
| ANTHONY G COLLINCINI3 Filed as: ANTHONY COLLINCINI | 300 COOKMAN AVE UNIT 222 ASBURY PARK, NJ 07712 | AFLAC | $1K | — | $1K | 1.27% |
| RICHARD WHELAN3 | 3887 NW 52ND ST BOCA RATON, FL 33496 | AFLAC | $352 | — | $352 | 0.41% |
| ELISE MONTEFORTE3 | 13 EAGLE NEST RD COLTS NECK, NJ 07722 | AFLAC | $292 | — | $292 | 0.34% |
| MICHAEL P ZILINSKI3 Filed as: MICHAEL P. ZILINSKI | 1633 WASHINGTON BLVD APT 4E STAMFORD, CT 06902 | AFLAC | $274 | — | $274 | 0.32% |
| MARY BETH HUBBARD3 | 87 KENWOOD RD RIVER EDGE, NJ 07661 | AFLAC | $257 | — | $257 | 0.30% |
| RUSSELL T BARRETT3 Filed as: RUSSELL T. BARRETT | 61 PORCUPINE CIR. BALLSTON SPA, NY 12020 | AFLAC | $224 | — | $224 | 0.26% |
| DANDLEY ALEXANDRE3 | 1 DONALD ST APT B BLOOMFIELD, NJ 07003 | AFLAC | $97 | $94 | $191 | 0.22% |
| MICHAEL S ANDERSON3 Filed as: MICHAEL S. ANDERSON | 10907 GALLOP FLS SAN ANTONIO, TX 78254 | AFLAC | $155 | — | $155 | 0.18% |
| ANA TORRES VEGA3 | PO BOX 1161 ARROYO, PR 00714 | AFLAC | $118 | — | $118 | 0.14% |
| BRUCE B BARRETT3 Filed as: BRUCE B. BARRETT | 439 GENESEE CT. SUFFERN, NY 10901 | AFLAC | $86 | — | $86 | 0.10% |
| MERYL SURGAN3 | 326 JAEGER AVE MAYWOOD, NJ 07607 | AFLAC | $74 | — | $74 | 0.09% |
| DOMINICK R SIRACUSA3 Filed as: DOMINICK SIRACUSA | 225 DOLSON AVE STE 304 MIDDLETOWN, NY 10940 | AFLAC | $55 | — | $55 | 0.06% |
| COORDINATED BENEFITS ASSOCIATES INC3 | 203 STUYVESANT AVE LYNDHURST, NJ 07071 | AFLAC | $45 | — | $45 | 0.05% |
| JUAN R MAS3 Filed as: JUAN R. MAS | 593 BELMONT AVE. HALEDON, NJ 07508 | AFLAC | $45 | — | $45 | 0.05% |
| ANDBEE CORP3 | 439 GENESEE CT SUFFERN, NY 10901 | AFLAC | $43 | — | $43 | 0.05% |
| KEVIN R MCINERNEY3 Filed as: KEVIN MCINERNEY | 14 STILLMAN LN PLEASANTVILLE, NY 10570 | AFLAC | $40 | — | $40 | 0.05% |
| MICHAEL A FORNARO3 Filed as: MICHAEL A. FORNARO | 271 US HIGHWAY 46 STE H119 FAIRFIELD, NJ 07004 | AFLAC | $32 | — | $32 | 0.04% |
| BETH E FREDERICKSON3 | 19 DAVENPORT RD MONTVILLE, NJ 07045 | AFLAC | $25 | $6 | $31 | 0.04% |
| TUCKER ROBERT KUNKEL3 | 40 CASTLE ROCK RD LAKE HOPATCONG, NJ 07849 | AFLAC | $30 | — | $30 | 0.04% |
| SHEILA DARLENE ALLEN3 | 38 PAMRAPO AVE JERSEY CITY, NJ 07305 | AFLAC | $27 | — | $27 | 0.03% |
| REY ROSTAMI3 | PO BOX 625 STOCKHOLM, NJ 07460 | AFLAC | $26 | — | $26 | 0.03% |
| MARIA IRIZARRY GARCIA3 | 151 CALLE FEDERICO COSTAS INDUSTRIAL TRES MONJITAS, SUITE 5 SAN JUAN, PR 00918 | AFLAC | $18 | — | $18 | 0.02% |
| TIMOTHY MCDERMOTT3 | 29 MAPLE LN MT ARLINGTON, NJ 07856 | AFLAC | $17 | — | $17 | 0.02% |
| KEVIN MCCARTHY3 | 197 LANG DR NORTH KINGSTOWN, RI 02852 | AFLAC | $15 | — | $15 | 0.02% |
| TARA MICHELLE D AGOSTINO3 | 87A BOORAEM AVE JERSEY CITY, NJ 07307 | AFLAC | $13 | — | $13 | 0.02% |
| TOMAS FLORES3 | 2030 HUDSON ST APT 942 FORT LEE, NJ 07024 | AFLAC | $8 | — | $8 | 0.01% |
| MELISSA A SCHOFIELD3 Filed as: MELISSA SCHOFIELD | 910 W KATHLEEN RD PHOENIX, CT 85023 | AFLAC | $7 | — | $7 | 0.01% |
| ALFRED RIETKERK3 | 438 PISGAH PIKE PULASKI, TN 38478 | AFLAC | $7 | — | $7 | 0.01% |
| MICHAEL D GERSON3 Filed as: MICHAEL D. GERSON | 124 NOYES DR #311 PARK RIDGE, NJ 07656 | AFLAC | $4 | — | $4 | 0.00% |
| LIFESAVERS SOLUTIONS LLC3 | 151 CALLE FEDERICO COSTAS INDUSTRIA TRES MONJITAS SUITE 5 SAN JUAN, PR 00918 | AFLAC | $4 | — | $4 | 0.00% |
| SAMANTHA CIOFFI3 Filed as: SAMANTHA E. CIOFFI | PO BOX 7131 OAKLAND, NJ 07436 | AFLAC | $3 | — | $3 | 0.00% |
| ALVARO MONTENEGRO3 | 5 ELYSE DR. NEW CITY, NY 10950 | AFLAC | $2 | — | $2 | 0.00% |
| JASON SCZEPANIAK3 Filed as: JASON HARTMAN | 10 LAKE ST SUITE 2 MONROE, NY 10950 | AFLAC | $2 | — | $2 | 0.00% |
| MICHAEL T REYES3 Filed as: MICHAEL T. REYES | 185 PLAINS RD STE 200E MILFORD, CT 06461 | AFLAC | $1 | — | $1 | 0.00% |
| FELIX VALENTIN PAGAN3 | 1204 BULEVAR SAN LUIS VILLAS DEL LAUREL 1 COTO LAUREL, PR 00780 | AFLAC | $1 | — | $1 | 0.00% |
| MIGUEL NUNEZ COLON3 | P.O. BOX 250392 AGUADILLA, PR 00604 | AFLAC | $1 | — | $1 | 0.00% |
| CONNER STRONG & BUCKELEW3 | TRIAD1828 CENTRE 2 COOPER STREET, P.O. BOX 99106 CAMDEN, NJ 08101 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 10.97% |
| GROUP ADVISORY INC3 Filed as: GROUP ADVISORY, INC. | 1135 CLIFTON AVENUE CLIFTON, NJ 07013 | FEDERAL INSURANCE COMPANY - CHUBB | $2K | — | $2K | 20.00% |
No Schedule C service providers reported on this filing.
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 | 240 | 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) | 240 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 67 | $85K |
| Dental | DELTA DENTAL OF NEW JERSEY, INC. | 438 | $246K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 254 | $151K |
| Short-term disability | AFLAC | 67 | $85K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 120 | $191K |
| Other(4 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 254 | $273K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 438 | — |
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.