| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CLEARY BENEFITS GROUP, INC.3 Filed as: CLEARY BENEFITS GROUP INC | 83 WOOSTER HEIGHTS RD DANBURY, CT 06810 | AETNA LIFE INSURANCE CO. | — | $27 | $27 | 0.01% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 60 SYLVAN AVENUE SUITE 301 ENGLEWOOD CLIFFS, NJ 07632 | SUNLIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 1.75% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 | 1933 STATE ROUTE 35 SUITE 368 WALL, NJ 07719 | SUNLIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 1.14% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 40 MARCUS DR FL 3 MELVILLE, NY 117474268 | VISION SERVICE PLAN | $1K | — | $1K | 4.40% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 600 SYLAN AVENUE SUITE 301 ENGLEWOOD CLIFFS, NJ 07632 | VISION SERVICE PLAN | $336 | — | $336 | 1.12% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE BROKERS & CONSULTANT | 210 HUDSON ST STE 601 JERSEY CITY, NJ 07311 | ZURICH AMERICAN INSURANCE COMPANY | $834 | — | $834 | 14.99% |
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 | 207 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 207 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE CO. | 420 | $206K |
| Vision | VISION SERVICE PLAN | 148 | $30K |
| Life insurance | SUNLIFE ASSURANCE COMPANY OF CANADA | 275 | $164K |
| Short-term disability | SUNLIFE ASSURANCE COMPANY OF CANADA | 275 | $164K |
| Long-term disability | SUNLIFE ASSURANCE COMPANY OF CANADA | 275 | $164K |
| Other(2 contracts, 2 carriers) | SUNLIFE ASSURANCE COMPANY OF CANADA | 1,102 | $169K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,102 | — |
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.