| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CONTEMPORARY STRATEGIC SOLUTIONS3 | 19 WILLOW LANE SPRING LAKE, NJ 077622185 | AMALGAMATED LIFE INSURANCE COMPANY | $24K | — | $24K | 6.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $390K |
| KARLEEN O NEILL EIN 22-2586287 NONE | Employee (plan) Service code 30 | 440 BARELL AVENUE CARLSTADT, NJ 07072 | $116K |
| VIRGINIA OLSEN EIN 22-2586287 NONE | Employee (plan) Service code 30 | 440 BARELL AVENUE CARLSTADT, NJ 07072 | $102K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial Service code 11 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $78K |
| MANFRE CPA P.C. EIN 61-1632657 NONE | Accounting (including auditing) Service code 10 | 84 BUSINESS PARK DRIVE ARMONK, NY 10504 | $52K |
| HI-TECH NERDS LLC EIN 20-2514135 NONE | Consulting (general) Service code 16 | 336 W PASSAIC ST ROCHELLE PARK, NJ 07662 | $37K |
| BOYD WATTERSON GSA FUND, LP EIN 45-2061717 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 500 W MONROE ST STE 3850 CHICAGO, IL 60661 | $34K |
| CIGNA HEALTH & LIFE INSURANCE CO EIN 59-1031071 NONE | Participant communication; Named fiduciary; Non-monetary compensation; Float revenue; Other services; Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | 499 WASHINGTON BLVD JERSEY CITY, NJ 07310 | $18K |
| CLEARY, JOSEM & TRIGIANI LLP EIN 23-2657967 NONE | Legal Service code 29 | 325 CHESTNUT STREET SUITE 200 PHILADELPHIA, PA 19106 | $14K |
| SYNTONIC SYSTEMS INC. EIN 13-2925049 NONE | Consulting (general) Service code 16 | 80 EIGHT AVENUE NEW YORK, NY 10011 | $10K |
| THOMAS P. REYNOLDS EIN 11-2558102 NONE | Investment advisory (plan) Service code 27 | 410 JERICHO TURNPIKE JERICHO, NY 11753 | $6K |
| CIGNA 59-1031071 | Participant communication; Other services; Contract Administrator; Non-monetary compensation; Named fiduciary; Float revenue; Direct payment from the plan; Claims processing Service code 12 | — | $0 |
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 | 371 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 370 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 741 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNICARE LIFE & HEALTH INSURANCE COMPANY | 653 | $168K |
| Prescription drug | SIERRA HEALTH AND LIFE INSURANCE COMPANY INC. | 502 | $1.5M |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 424 | $405K |
| Other | UNICARE LIFE & HEALTH INSURANCE COMPANY | 653 | $168K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 653 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.