| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD HAUPPAUGE, NY 11788 | HORIZON HEALTHCARE SERVICES, INC. | $23K | $7K | $30K | 2.48% |
| INSGROUP INC3 Filed as: MARTIN INSURANCE GROUP (2) | 259 PROSPECT PLAINS RD - BLD F, STE CRANBURY, NJ 08512 | HORIZON HEALTHCARE SERVICES, INC. | $18K | $5K | $23K | 1.92% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD HAUPPAUGE, NY 11788 | HORIZON HEALTHCARE SERVICES, INC. | $5K | $2K | $7K | 2.48% |
| INSGROUP INC3 Filed as: MARTIN INSURANCE GROUP (2) | 259 PROSPECT PLAINS RD - BLD F, STE CRANBURY, NJ 08512 | HORIZON HEALTHCARE SERVICES, INC. | $4K | $1K | $5K | 1.92% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA MITCHELL INSURANCE | AGENCY PO BOX 1788 GRAND RAPIDS, MI 49501 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | — | $3K | 5.05% |
| GA SOLUTIONS LLC3 | 311 CLOCK TOWER CMNS BREWSTER, NY 10509 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $628 | $3K | 4.99% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA | GARCEAU INSURANCE AGENCY PO BOX 1788 GRAND RAPIDS, MI 49501 | PRINCIPAL LIFE INSURANCE COMPANY | — | $1K | $1K | 1.96% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA | MITCHELL INSURANCE AGENCY 100 OTTAWA AVE, SW GRAND RAPIDS, MI 49503 | HEARTLAND | $968 | — | $968 | 10.00% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD, STE 200 HAUPPAUGE, NY 11788 | AFLAC | $2K | — | $2K | 44.75% |
| DANIEL J O BRIEN3 | 14107 20TH AVE, STE 507 WHITESTONE, NY 11357 | AFLAC | $1K | — | $1K | 28.68% |
| TRIBEN INSURANCE SOLUTIONS INC3 Filed as: TRIBEN INS SOLUTIONS INC | 24 E SECOND ST, APT 1 MEDIA, PA 19063 | AFLAC | $955 | — | $955 | 21.48% |
| RICHARD PETERSON3 Filed as: RICHARD D PETERSON | 19 IDLE DAY DR CENTERPORT, NY 11721 | AFLAC | $172 | — | $172 | 3.87% |
| MATTHEW G BERGER3 | 22 SUNNYRIDGE RD PHILADELPHIA, PA 19125 | AFLAC | $23 | — | $23 | 0.52% |
| BONNIE H DROBNES3 | 118 BEAUMONT PL LOWER GWYNEDD, PA 19002 | AFLAC | $6 | — | $6 | 0.13% |
| MAIN LINE BENEFIT SOLUTIONS LLC3 | 1405 LARKSPUR LN MALVERN, PA 19355 | AFLAC | $6 | — | $6 | 0.13% |
| WILLIAM JOHNSON3 | 471 WATERFORDS EDGE CT ATCO, NJ 08004 | AFLAC | $6 | — | $6 | 0.13% |
| JOSE A SCHIENEMAN3 | 1881 S CARRIAGE LN CHANDLER, AZ 85286 | AFLAC | $6 | — | $6 | 0.13% |
| RYAN K GOLDBERG3 | 103 CHURCH ST #3 PHILADELPHIA, PA 19106 | AFLAC | $3 | — | $3 | 0.07% |
| DARREN D RIDDLE3 | 7850 AVONDALE TER HARRISBURG, PA 17112 | AFLAC | $2 | — | $2 | 0.04% |
| ANGELA MASSARELLI3 | 30 WATERFRONT WAY HAMMONTON, NJ 08037 | AFLAC | $2 | — | $2 | 0.04% |
| DARREN D RIDDLE3 | 7850 AVONDALE TER HARRISBURG, PA 17112 | AFLAC | — | — | $0 | 0.00% |
| ACRISURE LLC3 | — | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $472 | $31 | $503 | 16.14% |
| HORIZON INSURANCE COMPANY3 | — | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | — | $163 | $163 | 5.23% |
| PROFESSIONAL GROUP PLANS INC3 | — | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | — | $157 | $157 | 5.04% |
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 | 118 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 118 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HORIZON HEALTHCARE SERVICES, INC. | 118 | $1.2M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 225 | $63K |
| Vision | HEARTLAND | 207 | $10K |
| Life insurance | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 186 | $3K |
| Prescription drug | HORIZON HEALTHCARE SERVICES, INC. | 69 | $281K |
| Other(2 contracts, 2 carriers) | AFLAC | 186 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 225 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.