| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FNA INSURANCE SERVICES INC3 | 180 RIVER ROAD FLOOR 2 SUMMIT, NJ 07901 | GUARDIAN LIFE INSURANCE COMPANY | $13K | — | $13K | 15.88% |
| FNA INSURANCE SERVICES INC3 | 180 RIVER ROAD FLOOR 2 SUMMIT, NJ 07901 | GUARDIAN LIFE INSURANCE COMPANY | — | $3K | $3K | 3.35% |
| DIRECT BENEFITS INC5 Filed as: DIRECT BENEFITS | 325 CEDAR STREET ST. PAUL, MD 55101 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $5K | — | $5K | 7.69% |
| NORIDIAN INSURANCE SERVICES INC5 Filed as: NORIDIAN INSURANCE | 4510 13TH STREET FARGO, ND 58121 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 4.81% |
| PREMIER CONSULTING PARTNERS LLC5 Filed as: PREMIER CONSULTING PARTNERS | 1000 WOODBURY ROAD WOODBURY, NY 11797 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 4.81% |
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 | 456 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 456 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 995 | $63K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY | 456 | $82K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 995 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.