| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOUIS C BERNARDI3 | 54 OCEAN AVE MASSAPEQUA PARK, NY 11762 | AETNA LIFE INSURANCE COMPANY | $189 | — | $189 | 0.49% |
| BARBARA K ROTH3 | 151 E. PALISADE AVE ENGLEWOOD, NJ 07631 | AETNA LIFE INSURANCE COMPANY | $190 | — | $190 | 4.21% |
| HINDA HAUSDORFF3 | 915 W END AVE NEW YORK, NY 10025 | AETNA LIFE INSURANCE COMPANY | $190 | — | $190 | 4.21% |
| GROUP PLANNERS INC3 | 54 OCEAN AVE MASSAPEQUA PARK, NY 11762 | AETNA LIFE INSURANCE COMPANY | $163 | — | $163 | 3.62% |
| BARBARA K ROTH3 | 151 E PALISADE AVE APT B1 ENGLEWOOD, NJ 07631 | HARTFORD LIFE AND ACCIDENT | $66 | — | $66 | 3.52% |
| HINDA J HAUSDORFF3 | 1382 HUDSON RD TEANECK, NJ 07666 | HARTFORD LIFE AND ACCIDENT | $66 | — | $66 | 3.52% |
| GROUP PLANNERS INC3 | 54 OCEAN AVENUE MASSAPEQUA PARK, NY 11762 | HARTFORD LIFE AND ACCIDENT | $56 | — | $56 | 2.99% |
| LOUIS C BERNARDI3 | 54 OCEAN AVE MASSAPEQUA PARK, NY 11762 | AETNA LIFE INSURANCE COMPANY | — | — | $0 | — |
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 | 252 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 254 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | AETNA LIFE INSURANCE COMPANY | 191 | $39K |
| Vision | VISION SERVICE PLAN | 238 | $27K |
| Life insurance(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 183 | $6K |
| Other(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 183 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 238 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.