| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHRISTOPHER LAPINSKI3 | 708 OCEAN ROAD SPRING LAKE, NJ 07712 | AFLAC | $2K | $105 | $2K | — |
| JESSICA MOST3 | 377 VAN DYKE PLACE BAYVILLE, NJ 08721 | AFLAC | $1K | $36 | $1K | — |
| CSL BENEFIT SOLUTIONS3 | 708 OCEAN ROAD SPRING LAKE, NJ 07762 | AFLAC | $811 | — | $811 | — |
| ADAM MAGGIO3 | 1025 MAXWELL LANE, APT 902 HOBOKEN, NJ 07030 | AFLAC | $392 | — | $392 | — |
| CHRISTOPHER J BURRIS3 Filed as: CHRISTOPHER BURRIS | 377 VAN DYKE PLACE BAYVILLE, NJ 08721 | AFLAC | $341 | $23 | $364 | — |
| ALBERT SHUST3 | 200 CENNTENNIAL AVE., SUITE 105 PISCATAWAY, NJ 08854 | AFLAC | $131 | — | $131 | — |
| MICHAEL BUTTERFIELD3 | 2021 NEW ROAD, SUITE 12B LINWOOD, NJ 08221 | AFLAC | $116 | — | $116 | — |
| EDWARD J MOORE3 Filed as: EDWARD MOORE | 21 UNION AVENUE LAKEHURST, NJ 08733 | AFLAC | $86 | — | $86 | — |
| RAYMOND LAPINSKI3 | 26 MAIN STREET, SUITE J TOMS RIVER, NJ 08753 | AFLAC | $53 | — | $53 | — |
| BRIAN M LEYPOLDT3 Filed as: BRIAN LEYPOLOT | 67 ALLISON PLACE EGG HARBOR TWP., NJ 08234 | AFLAC | $25 | — | $25 | — |
| TIM MCDERMOTT3 | 150 ALLEN ROAD, SUITE 110 BASKING RIDGE, NJ 07920 | AFLAC | $17 | — | $17 | — |
| ANTHONY ORGERA3 | 14 WALL STREET, SUITE 8C NEW YORK, NY 10005 | AFLAC | $16 | — | $16 | — |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN PITUCH | 60 US HIGHWAY 46, SUITE 4 FAIRFIELD, NJ 07004 | AFLAC | $13 | — | $13 | — |
| AMY K FOY3 Filed as: AMY FOY | 804 MCCOY ROAD FRANKLIN RIDGE, NJ 07920 | AFLAC | $12 | — | $12 | — |
| GIULID PADOVANI3 | 9 QUAIL COURT BASKING RIDGE, NJ 07920 | AFLAC | $10 | — | $10 | — |
| STRATEGIC VOLUNTARY BENEFIT SERVICE3 | 8 PINE RIDGE DRIVE BRANCHBURG, NJ 08876 | AFLAC | $8 | — | $8 | — |
| TREVOR FENNELL3 | 11835 QUEENS BLVD., SUITE 1403 FOREST HILLS, NY 11375 | AFLAC | $8 | — | $8 | — |
| ANN PREGNER3 | PO BOX 248 OLDWICK, NJ 08858 | AFLAC | $4 | — | $4 | — |
| KEN MEIER3 | 11835 QUEENS BLVD., SUITE 1403 FOREST HILLS, NY 11275 | AFLAC | $3 | — | $3 | — |
| MATT OLSON3 | 8 LAKESIDE DRIVE CENTERPORT, NY 11721 | AFLAC | $3 | — | $3 | — |
| JULIO E ZURITA3 Filed as: JULIO ZURITA | 273 VALLEY ROAD RIDGE EDGE, NJ 07661 | AFLAC | $1 | — | $1 | — |
| BENITO ROTONDI3 | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $1 | — | $1 | — |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL | 580 N. 4TH STREET, SUITE 400 COLUMBUS, OH 43215 | THE GUARDIAN LIFE INS. COMPANY OF AMERICA | $10K | $7K | $17K | — |
| CHRISTIAN PETER3 | 7 HOOK HARBAR RD. ATLANTIC HIGHLANDS, NJ 07716 | HORIZON HEALTHCARE SERVICES | $79K | — | $79K | — |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | PO BOX 62939 VIRGINIA BEACH, VA 23466 | VISION SERVICE PLAN | $1K | — | $1K | — |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | PO BOX 62939 VIRGINIA BEACH, VA 23466 | CIGNA DENTAL HEALTH OF NEW JERSEY, INC. | $2K | — | $2K | — |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | PO BOX 62939 VIRGINIA BEACH, VA 23466 | CIGNA DENTAL HEALTH OF NORTH CAROLINA | $29 | — | $29 | — |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | PO BOX 62939 VIRGINIA BEACH, VA 23466 | CIGNA DENTAL HEALTH OF PENNSYLVANIA, INC. | $96 | — | $96 | — |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | PO BOX 62939 VIRGINIA BEACH, VA 23466 | CIGNA HEALTH & LIFE INSURANCE COMPANY | $8K | $914 | $9K | — |
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 | 187 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 187 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AFLAC | 162 | $0 |
| Dental(4 contracts, 4 carriers) | CIGNA DENTAL HEALTH OF NEW JERSEY, INC. | 172 | $0 |
| Vision | VISION SERVICE PLAN | 146 | $0 |
| Life insurance | THE GUARDIAN LIFE INS. COMPANY OF AMERICA | 187 | $0 |
| Prescription drug | HORIZON HEALTHCARE SERVICES | 162 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 187 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.