| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DULEY BOLWAR & ASSOCIATES INC3 Filed as: DULEY-BOLWAR AND ASSOCIATES, INC. | 14805 NORTH 73RD STREET SCOTTSDALE, AZ 85260 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | $21K | $21K | 1.54% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 310 PASSAIC AVENUE, SUITE 202 FAIRFIELD, NJ 07004 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | $19K | $19K | 1.36% |
| DBG BENEFIT SOLUTIONS3 Filed as: DBG BENEFIT SOLUTIONS, INC. | UNKNOWN SOMERSET, NJ 08775 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | $2K | $2K | 0.13% |
| DULEY BOLWAR & ASSOCIATES INC3 Filed as: DULEY BOLWAR AND ASSOCIATES, INC. | 14805 NORTH 73RD STREET SCOTTSDALE, AZ 85260 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $0 | $4K | 5.06% |
| THE TARPEY GROUP, LLC3 Filed as: TARPEY GROUP LLC | 310 PASSAIC AVENUE, SUITE 202 FAIRFIELD, NJ 07004 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 4.12% |
| DULEY BOLWAR & ASSOCIATES INC3 Filed as: DULEY BOLWAR AND ASSOCIATES, INC. | 14805 NORTH 73RD STREET SCOTTSDALE, AZ 85260 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $636 | $3K | $3K | 7.09% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 310 PASSAIC AVENUE, SUITE 202 FAIRFIELD, NJ 07004 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $626 | $0 | $626 | 1.28% |
| DULEY BOLWAR & ASSOCIATES INC3 Filed as: DULEY-BOLWAR & ASSOCIATES INC | 14805 NORTH 73RD STREET SCOTTSDALE, AZ 85260 | UNITEDHEALTHCARE INSURANCE COMPANY | $645 | $0 | $645 | 5.89% |
| THE TARPEY GROUP, LLC3 Filed as: THE TARPEY GROUP LLC | 310 PASSAIC AVENUE SUITE 202 FAIRFIELD, NJ 07004 | UNITEDHEALTHCARE INSURANCE COMPANY | $450 | $0 | $450 | 4.11% |
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 | 163 | 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) | 163 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 163 | $1.4M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 313 | $72K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 97 | $11K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 144 | $49K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 144 | $49K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 163 | $1.4M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 144 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 313 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.