| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIED BENEFIT SYSTEMS, LLC5 Filed as: ALLIED BENEFIT SYSTEMS, INC. | — | HCC LIFE INSURANCE COMPANY | $652 | $0 | $652 | 0.14% |
| VXTRA PARTNERS3 Filed as: VXTRA PARTNERS, LLC | 2700 CUMBERLAND PKWY STE 140 ATLANTA, GA 30339 | HCC LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| LEON MARTIN3 Filed as: LEON L LEVY & ASSOCIATES, INC. | PO BOX 378 JENKINTOWN, PA 19046 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $187 | $0 | $187 | 0.09% |
| VXTRA PARTNERS3 Filed as: VXTRA PARTNERS, LLC | 2700 CUMBERLAND PKWY STE 140 ATLANTA, GA 30339 | ALLIED BENEFIT SYSTEMS, INC. | $0 | $92K | $92K | 64.10% |
| MERITAIN HEALTH0 Filed as: AETNA LIFE INSURANCE COMPANY | — | ALLIED BENEFIT SYSTEMS, INC. | $0 | $27K | $27K | 18.68% |
| ALLIED BENEFIT SYSTEMS, LLC5 Filed as: ALLIED BENEFIT SYSTEMS, INC. | — | ALLIED BENEFIT SYSTEMS, INC. | $0 | $25K | $25K | 17.22% |
| VXTRA PARTNERS3 Filed as: VXTRA PARTNERS, LLC | 2700 CUMBERLAND PKWY STE 140 ATLANTA, GA 30339 | DELTA DENTAL OF NEW JERSEY, INC. | $5K | $0 | $5K | 4.05% |
| LEON MARTIN3 Filed as: LEON L LEVY & ASOCIATES, INC. | PO BOX 378 JENKINTOWN, PA 19046 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 5.05% |
| LEON MARTIN3 Filed as: LEON L LEVY & ASSOCIATES, INC. | PO BOX 378 JENKINTOWN, PA 19046 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $309 | $0 | $309 | 7.88% |
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 | 188 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 188 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ALLIED BENEFIT SYSTEMS, INC. | 138 | $144K |
| Dental | DELTA DENTAL OF NEW JERSEY, INC. | 267 | $118K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 188 | $229K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 188 | $205K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 143 | $467K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 188 | $233K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 267 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.