| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BOULEVARD, 2ND FLOOR HAUPPAUGE, NY 11788 | AETNA LIFE INSURANCE COMPANY | $21K | — | $21K | 1.45% |
| ACRISURE LLC3 | 310 PASSAIC AVENUE, SUITE 202 FAIRFIELD, NJ 07004 | AETNA LIFE INSURANCE COMPANY | — | $3K | $3K | 0.17% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DRIVE CALEDONIA, MI 49316 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $18K | $500 | $18K | 15.57% |
| ACRISURE LLC3 | 310 PASSAIC AVENUE, SUITE 202 FAIRFIELD, NJ 07004 | EXPRESS SCRIPTS INC | $2K | $0 | $2K | 1.91% |
| ACRISURE LLC3 | 310 PASSAIC AVENUE, SUITE 202 FAIRFIELD, NJ 07004 | HARTFORD LIFE AND ACCIDENT | $7K | $0 | $7K | 7.53% |
| THE PARTNERS GROUP3 Filed as: TPG GROUP INC | 10 TOWER LANE, SUITE 100 AVON, CT 06001 | HARTFORD LIFE AND ACCIDENT | $88 | — | $88 | 0.10% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BOULEVARD, 2ND FLOOR HAUPPAUGE, NY 11788 | HORIZON HEALTHCARE SERVICES, INC. | $4K | $3K | $7K | 8.73% |
| MARTIN INSURANCE GROUP3 | 259 PROSPECT PLAINS ROAD BUILDING F, SUITE 110 CRANBURY, NJ 08512 | HORIZON HEALTHCARE SERVICES, INC. | $603 | $295 | $898 | 1.14% |
| ACRISURE LLC3 | 310 PASSAIC AVENUE, SUITE 202 FAIRFIELD, NJ 07004 | AFLAC | $733 | $0 | $733 | 3.36% |
| MARY DRESSENDOFER3 | 12 CRABAPPLE COVE HAMPTON, NJ 08827 | AFLAC | $510 | $12 | $522 | 2.39% |
| MJ INSURANCE3 Filed as: DANIEL SOTO AND VARIOUS AGENTS | 204 NATALIE DRIVE PHILLIPSBURG, NJ 08865 | AFLAC | $439 | $8 | $447 | 2.05% |
| MITCHELL N HNATT3 Filed as: MITCHELL HNATT | 837 SOUTH DRIVE BRICK, NJ 08724 | AFLAC | $279 | $0 | $279 | 1.28% |
| LAURA DRESSENDOFER3 | 12 CRABAPPLE COVE HAMPTON, NJ 08827 | AFLAC | $120 | $0 | $120 | 0.55% |
| ADAM MAGGIO3 | 1025 MAXWELL LANE, APARTMENT 902 HOBOKEN, NJ 07030 | AFLAC | $110 | $0 | $110 | 0.50% |
| ENROLLEASE3 Filed as: JOSEPH CLARK | 197 BYRAM KINGWOOD ROAD STOCKTON, NJ 08559 | AFLAC | $95 | $5 | $100 | 0.46% |
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 | 130 | 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) | 130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 151 | $1.5M |
| Dental | HORIZON HEALTHCARE SERVICES, INC. | 105 | $79K |
| Vision | HORIZON HEALTHCARE SERVICES, INC. | 105 | $79K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 131 | $118K |
| Short-term disability | AFLAC | 21 | $22K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 131 | $118K |
| Prescription drug(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 151 | $1.5M |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 131 | $140K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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.