| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SAVOY ASSOCIATES3 Filed as: DONALD C. SAVOY ASSOCIATES | 25B HANOVER ROAD FLORHAM PARK, NJ 07932 | INDEPENDENCE BLUE CROSS | $0 | $52K | $52K | 28.73% |
| JP WARNER ASSOCIATES, INC.3 Filed as: JP WARNER ASSOCIATES INC | 485 DEVON PARK DR SUITE 103 WAYNE, PA 19087 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | $0 | $7K | 13.18% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | TWO PIERCE PL ITASCA, IL 60143 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $226 | $226 | 0.42% |
| JP WARNER ASSOCIATES, INC.3 Filed as: JP WARNER ASSOCIATES INC | 485 DEVON PARK DRIVE SUITE 103 WAYNE, PA 19087 | VISION BENEFITS OF AMERICA | $2K | $0 | $2K | 5.00% |
| JP WARNER ASSOCIATES, INC.3 | 485 DEVON PARK DRIVE SUITE 103 WAYNE, PA 19087 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $139 | $0 | $139 | 10.01% |
| MOTTI M COHEN3 Filed as: MOTTI M COHEN HEATLH PLAN INSURANCE | 1901 AVENUE OF THE STARS SUITE 615 LOS ANGELES, CA 90067 | SIRIUS INTERNATIONAL INSURANCE COMPANY | $265 | $0 | $265 | 25.05% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INSURANCE | 3055 44TH STREET SW GRANDVILLE, MI 49418 | FEDERAL INSURANCE COMPANY | $143 | $9 | $152 | 15.92% |
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 | 189 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 625 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | INDEPENDENCE BLUE CROSS | 437 | $700K |
| Vision | VISION BENEFITS OF AMERICA | 192 | $44K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 204 | $53K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 204 | $53K |
| Prescription drug(3 contracts, 3 carriers) | INDEPENDENCE BLUE CROSS | 437 | $519K |
| Other(3 contracts, 3 carriers) | INDEPENDENCE BLUE CROSS | 436 | $234K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 437 | — |
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.