| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WEINER BENEFITS GROUP LLC3 | 2961 CENTERVILLE RD #300 WILMINGTON, DE 19808 | HARTFORD LIFE AND ACCIDENT | $5K | $0 | $5K | 10.00% |
| GEORGE J WEINER ASSOCIATES INC3 Filed as: GEORGE J WEINER ASSOCIATES INC. | 2711 CENTERVILLE RD STE 205 WILMINGTON, DE 198081646 | AMERITAS | $2K | $0 | $2K | 7.23% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WEINER BENEFITS GROUP BROKER | Insurance agents and brokers Service code 22 | 2961 CENTERVILLE RD # 300 WILMINGTON, DE 19808 | $22K |
| HIGHMARK OF DELAWARE EIN 51-0020405 ADMIN | Claims processing Service code 12 | — | $13K |
| THE BENECON GROUP LLC EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $11K |
| CONNECTCARE3, LLC EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $3K |
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 | 50 | 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. |
| Total participants (= "Plan participants" tile) | 50 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERITAS | 53 | $22K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 62 | $54K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 62 | $54K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 62 | $54K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 50 | $205K |
| Other | HARTFORD LIFE AND ACCIDENT | 62 | $54K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 62 | — |
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.