| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HORIZON INSURANCE COMPANY | 3 PENN PLAZA EAST M2H NEWARK, NJ 07105 | USABLE LIFE | — | $4K | $4K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| FRANK M. VACCARO & ASSOCIATES, INC. EIN 23-2148108 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $1.1M |
| HORIZON HEALTHCARE SERVICES, INC. EIN 22-0999690 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $937K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $155K |
| PASCO INVESTMENT ADVISORS, INC. EIN 22-3326624 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $122K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $101K |
| O'BRIEN, BELLAND & BUSHINSKY, LLC EIN 37-1467056 NONE | Legal; Direct payment from the plan Service code 29 | — | $97K |
| ROBERT PARANO EIN 22-3052612 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $77K |
| CLARITY TESTING SERVICES NONE | Direct payment from the plan; Other services Service code 49 | 150 WHITE PLAINS ROAD, SUITE 204 TARRYTOWN, NY 10591 | $63K |
| ALLIED TRADES ASSISTANCE PROGRAM EIN 23-2591093 NONE | Direct payment from the plan; Other fees Service code 50 | — | $41K |
| LAW OFFICE OF BRIAN D. SULLIVAN NONE | Legal; Direct payment from the plan Service code 29 | 17 CHESTNUT DRIVE CHESTER, NJ 07930 | $33K |
| PNC BANK EIN 25-1211909 NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $9K |
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 | 2,081 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,081 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DENTAL SERVICES ORGANIZATION, INC | 644 | $406K |
| Vision | VISION BENEFITS OF AMERICA | 1,306 | $122K |
| Life insurance | USABLE LIFE | 1,401 | $86K |
| Stop-loss / reinsurancereinsurance | HORIZON HEALTHCARE SERVICES, INC. | 2,081 | $1.4M |
| Other(2 contracts, 2 carriers) | VISION BENEFITS OF AMERICA | 1,401 | $208K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,081 | — |
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.