| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DR STE 200 CAMDEN, NJ 08103 | UNITEDHEALTHCARE INSURANCE COMPANY | $70K | $141K | $211K | 3.71% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | BLUE CROSS BLUE SHIELD OF FLORIDA | $46K | — | $46K | 2.99% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DR STE 200 CAMDEN, NJ 08103 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $75K | $12K | $87K | 15.21% |
| CORPORATE SYNERGIES GROUP LLC3 | ORLANDO LOCATION 2 AQUARIUM DR STE 200 CAMDEN, NJ 08103 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 1.12% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP | 2 AQUARIUM DR SUITE 200 CAMDEN, NJ 08103 | PRESBYTERIAN HEALTH PLAN INC. | $16K | — | $16K | 4.46% |
| THOMAS WILLIAMSON3 Filed as: THOMAS F DUNN | 211 BUCHANAN CIR HENDERESONVILLE, TN 37075 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | — | $5K | $5K | 2.61% |
| THOMAS BURROUGHS3 Filed as: THOMAS R BURROUGHS | 211 BUCHANAN CIR HENDERESONVILLE, TN 37075 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | — | $5K | $5K | 2.61% |
| MARGARET SPALDING3 Filed as: MARGARET L THOMPSON | 449 HIGHPOINT TERRACE BRENTWOOD, TN 37027 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | — | $5K | $5K | 2.43% |
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 | 1,082 | 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) | 1,082 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 2,065 | $7.8M |
| Dental(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 2,065 | $5.9M |
| Vision(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 2,065 | $5.9M |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 821 | $574K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 821 | $574K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 821 | $574K |
| Prescription drug(3 contracts, 3 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 2,065 | $7.6M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 821 | $574K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,065 | — |
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."
No prospect flags tripped on this filing.