| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LABOR FIRST LLC3 | 3000 MIDLANTIC DRIVE, SUITE 101 MOUNT LAUREL, NJ 08054 | GERBER LIFE INSURANCE COMPANY | $43K | — | $43K | 12.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2 PIERCE PLACE 14TH FLOOR ITASCA, IL 60143 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 8.52% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUM RX, INC. EIN 33-0441200 NONE | Claims processing; Other fees; Direct payment from the plan; Float revenue Service code 12 | — | $488K |
| JOHN C. DULCZAK EIN 23-1685740 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $273K |
| HORIZON HEALTHCARE SERVICES,INC. EIN 22-0999690 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $242K |
| DEBORAH PIETKOWSKI EIN 23-1685740 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $67K |
| LABOR FIRST LLC | Consulting (general); Claims processing Service code 12 | — | $60K |
| PAMELA PALMER EIN 23-1685740 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $60K |
| RICHARD MCNEIL EIN 23-1685740 EMPLOYEE | Legal; Direct payment from the plan; Employee (plan) Service code 29 | — | $44K |
| FRANK VACCARO & ASSOCIATES EIN 23-2148108 NONE | Direct payment from the plan; Actuarial; Contract Administrator Service code 11 | — | $39K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $39K |
| FISCHER DORWART, PC EIN 23-2247478 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $32K |
| MORGAN STANLEY SMITH BARNEY EIN 20-8764829 NONE | Investment advisory (plan); Other investment fees and expenses; Other services; Custodial (securities); Investment management fees paid directly by plan; Other fees Service code 19 | — | $21K |
| DELTA DENTAL OF PA EIN 23-1667011 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $6K |
| TD WEALTH MANAGEMENT NONE | Recordkeeping fees; Other fees; Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Other investment fees and expenses; Distribution (12b-1) fees; Custodial (securities); Float revenue Service code 19 | 1006 ASTORIA BLVD. CHERRY HILL, NJ 08034 | $4K |
| LABOR FIRST, LLC NONE | Insurance agents and brokers; Consulting (general); Claims processing Service code 12 | 3000 MIDLANTIC DRIVE MOUNT LAUREL, NJ 08054 | $0 |
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 | 229 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 229 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 217 | $25K |
| Stop-loss / reinsurancereinsurance | GERBER LIFE INSURANCE COMPANY | 226 | $359K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 217 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 226 | — |
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.