| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE LOOMIS COMPANY5 | 850 N PARK ROAD WYOMISSING, PA 19610 | WESTPORT INSURANCE CORP | — | $3K | $3K | 34.79% |
| JAE CHUN3 | 61 YUCCA DRIVE STATEN ISLAND, NY 10312 | WESTPORT INSURANCE CORP | — | $2K | $2K | 27.56% |
| WESTPORT INSURANCE CORP0 | — | WESTPORT INSURANCE CORP | — | $1K | $1K | 16.41% |
| NJ GROUP SERVICES3 | 22 MERIDIAN ROAD SUITE 16 EDISON, NJ 08820 | WESTPORT INSURANCE CORP | — | $1K | $1K | 12.86% |
| MAGNACARE ADMINISTRATIVE SERVICES0 | 1600 STEWART AVE SUITE 700 WESTBURY, NY 11590 | WESTPORT INSURANCE CORP | — | $711 | $711 | 8.27% |
| ZELIS CLAIMS INTEGRITY INC0 Filed as: ZELIS CLAIMS INTEFRITY INC | 18167 US HWY 19 NORTH SUITE 300 CLEARWATER, FL 33764 | WESTPORT INSURANCE CORP | — | $9 | $9 | 0.10% |
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 | 17 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 17 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WESTPORT INSURANCE CORP | 17 | $9K |
| Prescription drug | WESTPORT INSURANCE CORP | 17 | $9K |
| Stop-loss / reinsurancereinsurance | WESTPORT INSURANCE CORP | 17 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 17 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.