| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CUSTOMIZED BENEFIT SOLUTIONS3 Filed as: CUSTOMIZED BENEFIT SOLUTIONS INC | 125 RAILROAD AVENUE SUITE 2 HIGHTSTOWN, NJ 08520 | USABLE LIFE | $355 | — | $355 | 15.00% |
| HORIZON INSURANCE COMPANY3 | 3 PENN PLAZA EAST M2H NEWARK, NJ 07105 | USABLE LIFE | — | $189 | $189 | 7.99% |
| DONALD C SAVOY INC3 Filed as: DONALD C. SAVOY INC | 25B HANOVER ROAD #B SUITE 220 FLORHAM PARK, NJ 07932 | USABLE LIFE | $47 | — | $47 | 1.99% |
| CUSTOMIZED BENEFIT SOLUTIONS3 Filed as: CUSTOMIZED BENEFIT SOLUTIONS INC | 125 RAILROAD AVENUE SUITE 2 HIGHTSTOWN, NJ 08520 | USABLE LIFE | $226 | — | $226 | 12.55% |
| HORIZON INSURANCE COMPANY3 | 3 PENN PLAZA EAST M2H NEWARK, NJ 07105 | USABLE LIFE | — | $105 | $105 | 5.83% |
| DONALD C SAVOY INC3 Filed as: DONALD C. SAVOY INC | 25B HANOVER ROAD #B SUITE 220 FLORHAM PARK, NJ 07932 | USABLE LIFE | $36 | — | $36 | 2.00% |
| CUSTOMIZED BENEFIT SOLUTIONS3 Filed as: CUSTOMIZED BENEFIT SOLUTIONS INC | 125 RAILROAD AVENUE SUITE 2 HIGHTSTOWN, NJ 08520 | USABLE LIFE | $427 | — | $427 | 59.55% |
| HORIZON INSURANCE COMPANY3 | 3 PENN PLAZA EAST M2H NEWARK, NJ 07105 | USABLE LIFE | — | $222 | $222 | 30.96% |
| DONALD C SAVOY INC3 Filed as: DONALD C. SAVOY INC | 25B SUITE 220 FLORHAM PARK, NJ 07932 | USABLE LIFE | $68 | — | $68 | 9.48% |
| CUSTOMIZED BENEFIT SOLUTIONS3 Filed as: CUSTOMIZED BENEFIT SOLUTIONS INC | 125 RAILROAD AVENUE SUITE 2 HIGHTSTOWN, NJ 08520 | USABLE LIFE | $14 | — | $14 | 14.89% |
| HORIZON INSURANCE COMPANY3 | 3 PENN PLAZA EAST M2H NEWARK, NJ 07105 | USABLE LIFE | — | $8 | $8 | 8.51% |
| DONALD C SAVOY INC3 Filed as: DONALD C. SAVOY INC | 25B HANOVER ROAD #B SUITE 220 FLORHAM PARK, NJ 07932 | USABLE LIFE | $2 | — | $2 | 2.13% |
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 | 114 | 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) | 114 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | USABLE LIFE | 113 | $2K |
| Long-term disability | USABLE LIFE | 113 | $717 |
| Other(3 contracts) | USABLE LIFE | 113 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 113 | — |
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.