| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC. | 5110 N. 40TH STREET SUITE 234 PHOENIX, AZ 85018 | AETNA LIFE INSURANCE CO. | $24K | — | $24K | 1.66% |
| FREDERICK W SERRA3 Filed as: FREDERICK W. SERRA, INC. | 112 HUNTINGTON STREET SHELTON, CT 06484 | AETNA LIFE INSURANCE CO. | $3K | — | $3K | 0.24% |
| FREDERICK W SERRA3 Filed as: FREDERICK W. SERRA, INC. | 2 CORPORATE DRIVE SUITE 234 SHELTON, CT 06484 | AETNA LIFE INSURANCE CO. | $1K | — | $1K | 0.09% |
| FREDERICK W SERRA3 Filed as: FREDERICK W. SERRA, INC. | 112 HUNTINGTON STREET SHELTON, CT 06484 | AETNA LIFE INSURANCE CO. | — | $0 | $0 | 0.00% |
| SERRA & DELVECCHIO LLC3 Filed as: SERRA & DELVECCHIO, LLC | 112 HUNTINGTON STREET SHELTON, CT 06484 | LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | $3K | $2K | $5K | 19.70% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC | ONE FOREST PARK DRIVE FARMINGTON, CT 06032 | LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | — | $1K | $1K | 4.95% |
| SERRA & DELVECCHIO LLC3 Filed as: SERRA & DELVECCHIO, LLC | 112 HUNTINGTON ST SHELTON, CT 06484 | LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | $2K | $1K | $3K | 16.08% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC | ONE FOREST PK DR FARMINGTON, CT 06032 | LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | — | $943 | $943 | 5.00% |
| SERRA & DELVECCHIO LLC3 Filed as: SERRA & DELVECCHIO, LLC | 112 HUNTINGTON STREET SHELTON, CT 06484 | LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | $228 | $123 | $351 | 18.49% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC. | ONE FOREST PK DR FARMINGTON, CT 06032 | LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | — | $94 | $94 | 4.95% |
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 | 226 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 226 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 230 | $1.4M |
| Dental | AETNA LIFE INSURANCE CO. | 230 | $1.4M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | 226 | $19K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | 226 | $27K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | 226 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 230 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.