| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BSC AGENCY LLC3 Filed as: BSC GROUP SERVICES LLC | 133 PROSPECT STREET WESTFIELD, NJ 07090 | GUARDIAN | $12K | $9K | $21K | 5.07% |
| BSC AGENCY LLC3 Filed as: BSC GROUP SERVICES LLC | 133 PROSPECT STREET WESTFIELD, NJ 07090 | GUARDIAN | $17K | $4K | $21K | 5.06% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SEI TRUST INVESTMENT MANAGER | Trustee (bank, trust company, or similar financial institution) Service code 21 | 1 FREEDOM VALLEY DRIVE OAKS, PA 19456 | $111K |
| BUCK CONSULTANTS EIN 13-3954297 ACTUARIAL/CONSULTING | Actuarial Service code 11 | 245 PARK AVENUE NEW YORK, NY 10167 | $62K |
| BAKER TILLY VIRCHOW KRAUSE, LLP EIN 39-0859910 AUDITOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Actuarial Service code 11 | 100 WALNUT AVENUE, SUITE 200 CLARK, NJ 07066 | $26K |
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 | 995 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 284 | Continuation coverage (COBRA, retiree health). |
| Beneficiaries receiving benefits | 5 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 1,284 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HORIZON HEALTHCARE SERVICES, INC. | 1,157 | $12.3M |
| Dental | DELTA DENTAL OF NJ, INC. | 955 | $855K |
| Life insurance | GUARDIAN | 988 | $416K |
| Short-term disability | GUARDIAN | 990 | $411K |
| Long-term disability | GUARDIAN | 988 | $416K |
| Prescription drug | HORIZON HEALTHCARE SERVICES, INC. | 1,121 | $4.2M |
| Other | GUARDIAN | 988 | $416K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,157 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.