| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA UNION BENEFIT | 120 EAGLE ROCK AVENUE EAST HANOVER, NJ 07936 | AETNA LIFE INSURANCE COMPANY | $14K | $0 | $14K | 14.93% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PKF O'CONNOR DAVIES EIN 27-1728945 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $32K |
| MILLIMAN EIN 11-2214968 ACTUARY | Actuarial Service code 11 | — | $27K |
| SYNTONIC SYSTEM INC EIN 13-2925049 NONE | Other fees; Other services Service code 49 | — | $11K |
| WEISSMAN & MINTZ ATTORNEY | Legal Service code 29 | ONE EXECUTIVE DRIVE SOMERSET, NJ 08873 | $10K |
| MSI TECHNOLOGIES IT PROVIDER | Other fees; Other services Service code 49 | 1055 PARSIPPANY BLVD SUITE 412 PARSIPPANY-TROY HILLS, NJ 07504 | $4K |
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 | 110 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE COMPANY | 180 | $96K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 180 | — |
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.