| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC3 | 5575 VENTURE DR STE D CLEVELAND, OH 44130 | UNITED OF OMAHA LIFE INSUARNCE COMPANY | $54K | $0 | $54K | 4.75% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC NJ NY | 1787 SENTRY PKWY W VEVA 16 STE 320 BLUE BELL, PA 19422 | UNITED OF OMAHA LIFE INSUARNCE COMPANY | $0 | $16K | $16K | 1.46% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1305 WAL WHITMAN ROAD SUITE 310 MELVILLE, NY 11747 | DELTA DENTAL OF NEW JERSEY, INC | $4K | $0 | $4K | 4.95% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL STREET 4TH FLOOR BOSTON, MA 02110 | DELTA DENTAL OF NEW JERSEY, INC | $3K | $0 | $3K | 4.34% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL ST 4TH FLOOR BOSTON, MA 02110 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | $333 | $3K | 9.48% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W VEVA 16, SUITE 320 BLUE BELL, PA 19422 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | $1K | $3K | 8.06% |
| JET EMPLOYEE BENEFITS3 Filed as: JET EMPLOYEE BENEFIT | 153 E FLAGLER ST #228 MIAMI, FL 33131 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 5.08% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC | 160 FEDERAL ST 4TH FLOOR BOSTON, MA 02110 | VISION SERVICE PLAN | $990 | $0 | $990 | 5.94% |
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 | 170 | 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) | 170 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED OF OMAHA LIFE INSUARNCE COMPANY | 2 | $1.1M |
| Dental | DELTA DENTAL OF NEW JERSEY, INC | 109 | $80K |
| Vision | VISION SERVICE PLAN | 123 | $17K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 170 | $33K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 170 | $33K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 170 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 170 | — |
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.