| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | CAPITAL ADVANTAGE ASSURANCE COMPANY | $124K | — | $124K | 2.75% |
| 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 | $24K | $8K | $32K | 16.63% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | PO BOX 654118 DALLAS, TX 75265 | UNITED CONCORDIA INSURANCE COMPANY | $20K | $1K | $22K | 11.34% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | HEARTLAND | $4K | — | $4K | 10.00% |
| C H ROBINSON & ASSOCIATES INC3 Filed as: C H ROBINSON ASSOC AND OTHER AGENTS | 4623 NW 53RD AVENUE, SUITE 1A GAINSVILLE, FL 32653 | AFLAC | $59 | — | $59 | 3.00% |
| JONATHON R SEELE3 Filed as: JONATHON R. SEELE | 60 BYRON NELSON CIRCLE ETTERS, PA 17319 | AFLAC | $33 | — | $33 | 1.68% |
| DEBRA L CARL3 Filed as: DEBRA L. CARL | 2042 STATE ROUTE 61 SUNBURY, PA 17801 | AFLAC | $29 | — | $29 | 1.48% |
| ORNAN D. CARL3 | 2042 STATE ROUTE 61 SUNBURY, PA 17801 | AFLAC | $21 | — | $21 | 1.07% |
| C A LUPP INC3 Filed as: C.A. LUPP INC. | 940 EAST PARK DRIVE, SUITE 301 HARRISBURG, PA 17111 | AFLAC | $20 | — | $20 | 1.02% |
| DAVID WILSON3 | 247 PEACOCK LANE MILLERSTOWN, PA 17062 | AFLAC | $15 | — | $15 | 0.76% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY S. ALMODOVAR | 3605 VARTAN WAY, SUITE 304 HARRISBURG, PA 17110 | AFLAC | $12 | — | $12 | 0.61% |
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 | 374 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 374 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CAPITAL ADVANTAGE ASSURANCE COMPANY | 393 | $4.5M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 748 | $191K |
| Vision | HEARTLAND | 652 | $36K |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 374 | $195K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 374 | $193K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 374 | $193K |
| Prescription drug | CAPITAL ADVANTAGE ASSURANCE COMPANY | 393 | $4.5M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 374 | $193K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 748 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.