| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $57 | $57 | 0.03% |
| PHAN NHUNG LE3 | 102 LIBERTY AVE ATLANTIC CITY, NJ 08401 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $715 | — | $715 | 6.43% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE STE 200 CAMDEN, NJ 08054 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $326 | — | $326 | 2.93% |
| DOUGLAS D LONERGAN3 | COMMUNICATION PARTNERS INC 24732 NORTH 109TH STREET SCOTTSDALE, AZ 85255 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $34 | — | $34 | 0.31% |
| NHUNG LE PHAN3 | 102 LIBERTY AVE ATLANTIC CITY, NJ 08401 | TRUSTMARK INSURANCE COMPANY | $185 | — | $185 | 3.61% |
| CORPORATE SYNERGIES GROUP LLC3 | 5000 DEARBORN CIRCLE SUITE 100 MOUNT LAUREL, NJ 08054 | TRUSTMARK INSURANCE COMPANY | $110 | — | $110 | 2.14% |
| DOUGLAS D LONERGAN3 | 61644 TAM MCARTHUR LOOP BEND, OR 97702 | TRUSTMARK INSURANCE COMPANY | $20 | — | $20 | 0.39% |
| PHAN NHUNG LE3 | 102 LIBERTY AVE ATLANTIC CITY, NJ 08401 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $209 | — | $209 | 6.38% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE STE 200 CAMDEN, NJ 08054 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $91 | — | $91 | 2.78% |
| LONERGAN DOUGLAS D3 | COMMUNICATION PARTNERS INC 24732 NORTH 109TH STREET SCOTTSDALE, AZ 85255 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $17 | — | $17 | 0.52% |
| NHUNG LE PHAN3 | 102 LIBERTY AVE ATLANTIC CITY, NJ 08401 | TRUSTMARK INSURANCE COMPANY | $174 | — | $174 | 6.58% |
| CORPORATE SYNERGIES GROUP LLC3 | 5000 DEARBORN CIRCLE SUITE 100 MOUTN LAUREL, NJ 08054 | TRUSTMARK INSURANCE COMPANY | $94 | — | $94 | 3.55% |
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 | 326 | 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) | 334 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK | 52 | $17K |
| Vision | HIGHMARK | 228 | $23K |
| Life insurance(3 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 326 | $194K |
| Short-term disability(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 326 | $191K |
| Long-term disability(3 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 326 | $196K |
| Prescription drug | HIGHMARK | 52 | $17K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 223 | $305K |
| Other(4 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 326 | $205K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 326 | — |
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."
No prospect flags tripped on this filing.