| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JEFFREY M NEWMAN3 | 46 SOUTH MAIN ST MEDFORD, NJ 08055 | TRANSAMERICA LIFE INSURANCE COMPANY | $481 | $0 | $481 | 4.07% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SERVICES L | 325 CHESTNUT ST STE 1000 PHILADELPHIA, PA 19106 | TRANSAMERICA LIFE INSURANCE COMPANY | $384 | $0 | $384 | 3.25% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: RISK PLACEMENT SERVICES, INC. | ROUT TABLE STUDIOS, SUITE 1000 200 CONNELL DRIVE BERKELEY HEIGHTS, NJ 07922 | TRANSAMERICA LIFE INSURANCE COMPANY | $137 | $0 | $137 | 1.16% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PATRIOT (EXUDE, INC) EIN 23-2859145 BROKER | Insurance agents and brokers Service code 22 | — | $35K |
| THE BENECON GROUP, LLC EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $19K |
| INDEPENDENCE ADMINSTRATORS EIN 23-2184623 ADMIN | Claims processing Service code 12 | — | $9K |
| CONNECTCARE 3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $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 | 89 | 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) | 90 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | TRANSAMERICA LIFE INSURANCE COMPANY | 35 | $12K |
| Long-term disability | TRANSAMERICA LIFE INSURANCE COMPANY | 35 | $12K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY | 54 | $376K |
| Other(2 contracts, 2 carriers) | TRANSAMERICA LIFE INSURANCE COMPANY | 90 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 90 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.