| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 | 5000 DEARBORN CIRCLE, SUITE 100 MT LAUREL, NJ 08054 | AETNA LIFE INSURANCE COMPANY | — | $699 | $699 | 0.37% |
| NHUNG LE PHAN3 | 102 LIBERTY AVENUE ATLANTIC CITY, NJ 08401 | ALLSTATE | $2K | — | $2K | 7.11% |
| CORPORATE SYNERGIES GROUP LLC3 | 5000 DEARBORN CIRCLE, SUITE 100 MT LAUREL, NJ 08054 | ALLSTATE | $704 | — | $704 | 2.94% |
| DOUGLAS D LONERGAN3 Filed as: DOUGLAS D. LONERGAN | 132 SW CROWELL WAY, SUITE 200 BEND, OR 97702 | ALLSTATE | $134 | — | $134 | 0.56% |
| NHUNG LE PHAN3 | 102 LIBERTY AVENUE ATLANTIC CITY, NJ 08401 | ALLSTATE | $1K | — | $1K | 6.45% |
| CORPORATE SYNERGIES GROUP LLC3 | 5000 DEARBORN CIRCLE, SUITE 100 MT LAUREL, NJ 08054 | ALLSTATE | $452 | — | $452 | 2.74% |
| DOUGLAS D LONERGAN3 Filed as: DOUGLAS D. LONERGAN | 132 SW CROWELL WAY, SUITE 200 BEND, OR 97702 | ALLSTATE | $86 | — | $86 | 0.52% |
| NHUNG LE PHAN3 | 102 LIBERTY AVENUE ATLANTIC CITY, NJ 08401 | TRUSTMARK INSURANCE COMPANY | $390 | — | $390 | 3.39% |
| CORPORATE SYNERGIES GROUP LLC3 | 5000 DEARBORN CIRCLE, SUITE 100 MT LAUREL, NJ 08054 | TRUSTMARK INSURANCE COMPANY | $248 | — | $248 | 2.16% |
| DOUGLAS D LONERGAN3 Filed as: DOUGLAS D. LONERGAN | 132 SW CROWELL WAY, SUITE 200 BEND, OR 97702 | TRUSTMARK INSURANCE COMPANY | $71 | — | $71 | 0.62% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES INC | PO BOX 654118 DALLAS, TX 75265 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $471 | $59 | $530 | 11.01% |
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 | 294 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 299 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | HIGHMARK | 534 | $29K |
| Life insurance | AETNA LIFE INSURANCE COMPANY | 357 | $187K |
| Short-term disability | AETNA LIFE INSURANCE COMPANY | 357 | $187K |
| Long-term disability(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 357 | $198K |
| Other(4 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 357 | $232K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 534 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.