| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $79 | $79 | 0.04% |
| PHAN NHUNG LE3 | 102 LIBERTY AVE ATLANTIC CITY, NJ 08401 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $562 | — | $562 | 6.45% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP INC | 2 AQUARIUM DRIVE STE 200 CAMDEN, NJ 08054 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $255 | — | $255 | 2.93% |
| NHUNG L PHAN3 Filed as: NHUNG PHAN | 204 RIVERCREST DR PHOENIXVILLE, PA 19460 | TRUSTMARK INSURANCE COMPANY | $141 | — | $141 | 3.14% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM LOOP DRIVE CAMDEN, NJ 08103 | TRUSTMARK INSURANCE COMPANY | $84 | — | $84 | 1.87% |
| DOUGLAS D LONERGAN3 | 10938 E. TUSAYAN TRAIL SCOTTSDALE, AZ 85255 | TRUSTMARK INSURANCE COMPANY | $15 | — | $15 | 0.33% |
| NHUNG L PHAN3 Filed as: NHUNG PHAN | 204 RIVERCREST DR PHOENIXVILLE, NJ 08401 | TRUSTMARK INSURANCE COMPANY | $88 | — | $88 | 3.26% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM LOOP DRIVE CAMDEN, NJ 08103 | TRUSTMARK INSURANCE COMPANY | $47 | — | $47 | 1.74% |
| PHAN NHUNG LE3 | 102 LIBERTY AVE ATLANTIC CITY, NJ 08401 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $134 | — | $134 | 6.31% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP INC | 2 AQUARIUM DRIVE STE 200 CAMDEN, NJ 08054 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $60 | — | $60 | 2.83% |
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 | 436 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 444 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK | 54 | $16K |
| Vision | HIGHMARK | 253 | $26K |
| Life insurance(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 444 | $221K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 444 | $218K |
| Long-term disability(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 444 | $223K |
| Prescription drug | HIGHMARK | 54 | $16K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 285 | $194K |
| Other(3 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 444 | $229K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 444 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.