| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING INC NJ | 29840 NETWORK PLACE CHICAGO, IL 606731299 | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | — | $44K | $44K | 1.24% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC. | PO BOX 955816 SAINT LOUIS, MO 63195 | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | — | $6K | $6K | 0.18% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS | 897 12TH STREET STE 300 HAMMONTON, NJ 08037 | RELIASTAR LIFE INSURANCE COMPANY | $314K | — | $314K | 31.67% |
| BSC AGENCY LLC3 | 1025 ASHWORTH ROAD WEST DES MOINES, IA 502653542 | RELIASTAR LIFE INSURANCE COMPANY | — | $40K | $40K | 4.00% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 606731298 | RELIASTAR LIFE INSURANCE COMPANY | $22K | — | $22K | 2.27% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS, INC. | 897 12TH STREET HAMMONTON, NJ 08037 | TRANSAMERICA LIFE INSURANCE COMPANY | $236K | — | $236K | 65.31% |
| AON CONSULTING INC3 Filed as: AON INSURANCE AGENCY | 200 E RANDOLPH ST. CHICAGO, IL 60601 | HEALTH CARE SERVICE CORPORATION | — | $289 | $289 | 0.17% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC. | 1 S WACKER DR STE 3350 CHICAGO, IL 60606 | HEALTH CARE SERVICE CORPORATION | — | -$135 | -$135 | -0.08% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS, INC. | PO BOX 1116 HAMMONTON, NJ 08037 | ARAG INSURANCE COMPANY | $9K | — | $9K | 8.00% |
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 | 7,720 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 51 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,771 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 714 | $6.1M |
| Dental | HAWAII MEDICAL SERVICE ASSOCIATION | 3 | $15K |
| Vision(2 contracts) | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 8,178 | $586K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | 8,710 | $3.9M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | 8,710 | $3.6M |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 714 | $6.1M |
| Other(4 contracts, 4 carriers) | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | 8,710 | $4.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,710 | — |
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.