| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JACOB BERGER3 | 698 PARK AVE LAKEWOOD, NJ 087013440 | PRINCIPAL LIFE INSURANCE COMPANY | $16K | $1K | $17K | 10.98% |
| CENTERSTONE INSURANCE AND FINANCIAL3 | 1133 WESTCHESTER AVE, STE 229 WHITE PLAINS, NY 10604 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | — | $5K | 2.89% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LEADING EDGE ADMINISTRATORS EIN 27-2589905 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $90K |
| PARK AVENUE INSURANCE AGENCY EIN 30-0934916 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $66K |
| BENEFIT MALL NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $9K |
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 | 178 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 178 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 178 | $158K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 178 | $158K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 178 | $158K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 178 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.