| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LAKESHORE BENEFIT GROUP INSURANCE3 | 301 ALBANY TURNPIKE CANTON, CT 06019 | AETNA LIFE INSURANCE CO. | $37K | — | $37K | 3.09% |
| LAKESHORE BENEFIT GROUP INSURANCE3 | 301 ALBANY TURNPIKE CANTON, CT 06019 | THE UNION LABOR LIFE INSURANCE COMPANY | $10K | — | $10K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| I.E. SHAFFER & CO. EIN 22-1750854 NONE | Direct payment from the plan; Contract Administrator Service code 13 | 830 BEAR TAVERN ROAD WEST TRENTON, NJ 08628 | $519K |
| AETNA LIFE INSURANCE CO. EIN 06-6033492 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $335K |
| CAPITAL RX, INC. NONE | Direct payment from the plan; Contract Administrator Service code 13 | 228 PARK AVENUE SOUTH, SUITE 87234 NEW YORK, NY 10003 | $217K |
| VANGUARD INSTITUTION INVESTOR SERV EIN 23-7825314 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $110K |
| UBS FINANCIAL SERVICES EIN 13-2638166 NONE | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $82K |
| MSPC CERTIFIED PUBLIC ACCOUNTANTS EIN 22-2951202 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 340 NORTH AVENUE EAST CRANFORD, NJ 07016 | $45K |
| KROLL & HEINEMAN EIN 22-2897879 NONE | Legal; Direct payment from the plan Service code 29 | — | $30K |
| PRINCETON HEALTHCARE SYSTEMS EIN 21-0635009 NONE | Direct payment from the plan; Other services Service code 49 | 1000 HERRONTOWN ROAD, CLOCK BLDG PRINCETON, NJ 08540 | $21K |
| LINDABURY MCCORMICK EIN 22-1943351 NONE | Legal; Direct payment from the plan Service code 29 | — | $18K |
| NEW BRUNSWICK ELECTRICIANS CLUB NONE | Direct payment from the plan; Other services Service code 49 | 1295 LIVINGSTON AVENUE NORTH BRUNSWICK, NJ 08902 | $16K |
| MILLIMAN INC. EIN 91-0675641 NONE | Insurance agents and brokers; Consulting (general); Direct payment from the plan Service code 16 | 29425 CHAGRIN BOULEVARD, SUITE 140 PEPPER PIKE, OH 44122 | $11K |
| SUMMIT ACTUARIAL SERVICES LLC EIN 22-3082451 NONE | Actuarial; Direct payment from the plan Service code 11 | 115 NORTH CHURCH STREET, SUITE 3 MOORESTOWN, NJ 08057 | $9K |
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 | 1,315 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 533 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,848 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 777 | $65K |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE CO. | 907 | $1.2M |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 777 | $65K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 907 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.