| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CONNER STRONG & BUCKELEW3 | TRIAD1828 CENTRE 2 COOPER STREET P.O. BOX 99106 CAMDEN, NJ 08101 | AETNA LIFE INSURANCE CO. | $25K | $85 | $25K | 3.83% |
| RANDOLPH HAMILTON3 | 2116 MAGNOLIA CT CINNAMINSON, NJ 08077 | AFLAC | $297 | — | $297 | 2.48% |
| SCARLET RODRIGUEZ3 | 1935 CHESTNUT ST APT 2F PHILADELPHIA, PA 19103 | AFLAC | $285 | — | $285 | 2.38% |
| CONNER STRONG & BUCKELEW3 | TRIAD1828 CENTRE 2 COOPER STREET, P.O. BOX 99106 CAMDEN, NJ 08101 | AFLAC | $233 | — | $233 | 1.94% |
| CIRO ABRIL3 | 18 BRACKEN CT HOWELL, NJ 07731 | AFLAC | $183 | — | $183 | 1.53% |
| MICHAEL WEDGE3 Filed as: MICHAEL G. WEDGE | 502 WASHINGTON AVE STE 600 TOWSON, MD 21204 | AFLAC | $162 | — | $162 | 1.35% |
| DARLENE S DILLON3 | 282 SHELL ROAD CARNEYS POINT, NJ 08069 | AFLAC | $159 | — | $159 | 1.33% |
| DOMINICK VIETRI3 | 502 WASHINGTON AVE STE 600 TOWSON, MD 21204 | AFLAC | $140 | — | $140 | 1.17% |
| PATRICIA DOXZEN3 Filed as: PATRICIA L DOXZEN | 11504 SAINT DAVIDS LN LUTHERVILLE, MD 21093 | AFLAC | $137 | — | $137 | 1.14% |
| ANGELA T HAMILTON3 | 2116 MAGNOLIA COURT CINNAMINSON, NJ 08077 | AFLAC | $63 | — | $63 | 0.53% |
| GERALD D KNOTT SR3 | 2113 TRIMBLE RD EDGEWOOD, MD 21040 | AFLAC | $37 | $25 | $62 | 0.52% |
| ELLEN M CRAWFORD3 Filed as: ELLEN M. CRAWFORD | P.O. BOX 42155 TOWSON, MD 21284 | AFLAC | $21 | $11 | $32 | 0.27% |
| VICTOR M VELEZ3 | 401 CUMBRIAN COURT WEST CHESTER, PA 19382 | AFLAC | $30 | — | $30 | 0.25% |
| ERIC R MACDOUGALL3 Filed as: ERIC MACDOUGALL & ASSOC INC | 5904 MARGARETS WAY NEW HOPE, PA 18938 | AFLAC | $21 | — | $21 | 0.18% |
| ANGELA MASSARELLI3 | 30 WATERFRONT WAY HAMMONTON, NJ 08037 | AFLAC | $19 | — | $19 | 0.16% |
| FREDERICK W WILSON III3 Filed as: FREDERICK W. WILSON III | 573 BELLEVUE RD. NEWARK, DE 19713 | AFLAC | $19 | — | $19 | 0.16% |
| CAROLYN E MORRISON3 | 293 SHELL RD. CARNEYS POINT, NJ 08069 | AFLAC | $18 | — | $18 | 0.15% |
| RACHEL PENNINGTON3 | 16 WESTMINSTER DR BERLIN, MD 21811 | AFLAC | $10 | $7 | $17 | 0.14% |
| JOSE A SCHIENEMAN3 Filed as: JOSE A. SCHIENEMAN | 4515 S. MCCLINTOCK DR. STE 212 TEMPE, AZ 85282 | AFLAC | $12 | — | $12 | 0.10% |
| CAROLYN E MORRISON3 | 108 PARKSIDE CT LEXINGTON, SC 29072 | AFLAC | $9 | — | $9 | 0.08% |
| MATTHEW G BERGER3 | 22 SUNNYRIDGE RD PHILADELPHIA, PA 19125 | AFLAC | $6 | — | $6 | 0.05% |
| THOMAS J POPPERT3 | 1001 RAY COSTIN WAY UNIT 1601 MURRELLS INLET, SC 29576 | AFLAC | $6 | — | $6 | 0.05% |
| MATTHEW G BERGER3 Filed as: MATTHEW G. BERGER | 22 SUNNYRIDGE RD. PHILADELPHIA, PA 19125 | AFLAC | $5 | — | $5 | 0.04% |
| JOSE A SCHIENEMAN3 | 1881 S CARRIAGE LN CHANDLER, AZ 85286 | AFLAC | $2 | — | $2 | 0.02% |
| DARREN D RIDDLE3 Filed as: DARREN D. RIDDLE | 7850 AVONDALE TER. HARRISBURG, PA 17112 | AFLAC | $1 | — | $1 | 0.01% |
| RYAN K GOLDBERG3 Filed as: RYAN K. GOLDBERG | 103 CHURCH ST. #3 PHILADELPHIA, PA 19106 | AFLAC | $1 | — | $1 | 0.01% |
| CONNER STRONG & BUCKELEW3 | TRIAD1828 2 COOPER STREET P.O. BOX 99106 CAMDEN, NJ 08101 | NATIONAL VISION ADMINISTRATORS, L.L.C. | $305 | — | $305 | 5.01% |
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 | 165 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 165 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 145 | $784K |
| Dental | AETNA LIFE INSURANCE CO. | 145 | $642K |
| Vision | NATIONAL VISION ADMINISTRATORS, L.L.C. | 98 | $6K |
| Life insurance(2 contracts, 2 carriers) | KANAWHA INSURANCE COMPANY (HUMANA) | 195 | $25K |
| Prescription drug(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 145 | $772K |
| Other(2 contracts, 2 carriers) | KANAWHA INSURANCE COMPANY (HUMANA) | 195 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 195 | — |
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.