| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAY BLUMENFELD | 1279 RT. 46 EAST BUILDING 6 PARSIPPANY, NJ 07054 | GUARDIAN DENTAL | $184K | — | $184K | 6.00% |
| JAY BLUMENFELD3 | 1279 RT. 46 EAST BUILDING 6 PARSIPPANY, NJ 07054 | UNITED HEALTHCARE INSURANCE COMPANY | $39K | — | $39K | 9.70% |
| JAY BLUMENFELD3 | 1279 RT. 46 EAST BUILDING 6, 2ND FLOOR PARSIPPAYNY, NJ 07054 | AETNA LIFE INSURANCE CO. | $9K | — | $9K | 3.76% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVE HARTFORD, CT 06156 | $2.2M |
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 | 4,225 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 151 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,376 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN DENTAL | 3,776 | $3.1M |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 3,335 | $398K |
| Life insurance | AETNA LIFE INSURANCE CO. | 4,225 | $235K |
| Other | AETNA LIFE INSURANCE CO. | 4,225 | $235K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,225 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
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.