| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARTIN INSURANCE GROUP3 | 4 INDEPENDENCE WAY PRINCETON, NJ 08540 | HORIZON HEALTHCARE SERVICES INC | $30K | $0 | $30K | 3.41% |
| MARTIN INSURANCE GROUP3 | 4 INDEPENDENCE WAY PRINCETON, NJ 08540 | HORIZON HEALTHCARE SERVICES, INC. | $7K | $0 | $7K | 3.49% |
| MARTIN INSURANCE GROUP3 | 4 INDEPENDENCE WAY PRINCETON, NJ 08540 | HORIZON HEALTHCARE SERVICES INC | $3K | $0 | $3K | 6.77% |
| MARTIN INSURANCE GROUP3 Filed as: MARTIN INSURANCE SERVICES INC | 4 INDEPENDENCE WAY, SUITE 110 PRINCETON, NJ 08540 | USABLE LIFE | $1K | — | $1K | 14.75% |
| HORIZON INSURANCE COMPANY3 | 3 PENN PLAZA EAST M2H NEWARK, NJ 07105 | USABLE LIFE | — | $717 | $717 | 7.24% |
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 | 149 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 149 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HORIZON HEALTHCARE SERVICES INC | 147 | $893K |
| Dental | HORIZON HEALTHCARE SERVICES INC | 149 | $44K |
| Life insurance | USABLE LIFE | 145 | $10K |
| Prescription drug | HORIZON HEALTHCARE SERVICES, INC. | 147 | $204K |
| Other | USABLE LIFE | 145 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.