| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HENRY O BAKER INSURANCE GROUP3 | 7 S WARREN ST DOVER, NJ 07512 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 7.42% |
| HENRY O BAKER INC3 | 7 S WARREN ST DOVER, NJ 07801 | DELTA DENTAL OF NEW JERSEY INC | $3K | — | $3K | 4.48% |
| HENRY O BAKER INSURANCE GROUP3 | 7 S WARREN ST DOVER, NJ 07801 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 6.95% |
| HENRY O BAKER INSURANCE GROUP3 | 7 S WARREN ST DOVER, NJ 07801 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 8.67% |
| HENRY O BAKER INSURANCE GROUP3 | 7 SOUTH WARREN ST DOVER, NJ 07801 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 10.88% |
| HENRY O BAKER INC3 | 7 SOUTH WARREN STREER DOVER, NJ 07801 | FLAGSHIP HEALTH SYSTEMS | $425 | — | $425 | 3.05% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INSURANCE ADMINISTRATOR OF AMERICA EIN 23-2696281 CONTRACT ADMINISTRATOR | Claims processing; Insurance agents and brokers; Contract Administrator Service code 12 | 1934 OLNEY AVNEUE SUITE 200 CHERRY HILL, NJ 08003 | $113K |
| HENRY O BAKER INS GROUP BROKER | Insurance agents and brokers Service code 22 | 7 S WARREN ST DOVER, NC 07801 | $51K |
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 | 208 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 210 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF NEW JERSEY INC | 122 | $77K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 225 | $17K |
| Life insurance | STANDARD INSURANCE COMPANY | 274 | $25K |
| Short-term disability | STANDARD INSURANCE COMPANY | 273 | $45K |
| Long-term disability | STANDARD INSURANCE COMPANY | 274 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 274 | — |
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.