| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | AETNA LIFE INSURANCE COMPANY | $6K | $57K | $63K | 5.77% |
| JASON C KOSTIK3 Filed as: JASON C. KOSTIK | 120 WEST MORELAND AVENUE HATBORO, PA 19040 | AFLAC | $1K | $42 | $1K | 6.05% |
| JACQUELINE EBERZ3 | 4949 LIBERTY LANE, SUITE 310 ALLENTOWN, PA 18106 | AFLAC | $717 | $18 | $735 | 4.20% |
| MJ INSURANCE3 Filed as: JAMES E. BROOKS AND VARIOUS AGENTS | 1253 WEST LEESPORT ROAD LEESPORT, PA 19533 | AFLAC | $265 | $10 | $275 | 1.57% |
| EDWARD F MROWKA JR3 Filed as: EDWARD F. MROWKA JR. | 5106 TIMBER LANE SCHNECKSVILLE, PA 18078 | AFLAC | $251 | $10 | $261 | 1.49% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INS. SVCS., INC. | PO BOX 632886 CINCINNATI, OH 45263 | AFLAC | $253 | — | $253 | 1.45% |
| DELMAS R BUTLER JR3 Filed as: DELMAS R. BUTLER JR. | 46 SOUTH TULPEHOCKEN STREET PINE GROVE, PA 17963 | AFLAC | $94 | — | $94 | 0.54% |
| WENDY M BOONE3 Filed as: WENDY M. BOONE | 1901 SEIPSTOWN ROAD FOGELSVILLE, PA 18051 | AFLAC | $79 | — | $79 | 0.45% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $184 | $2K | 19.18% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | PO BOX 654118 DALLAS, TX 75265 | VISION SERVICE PLAN | $1K | — | $1K | 10.00% |
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 | 261 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 45 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 306 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 266 | $1.1M |
| Dental | AETNA LIFE INSURANCE COMPANY | 266 | $1.1M |
| Vision | VISION SERVICE PLAN | 85 | $11K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 261 | $12K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 266 | $1.1M |
| Other(3 contracts, 3 carriers) | AFLAC | 261 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 266 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.