| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DR CAMDEN, NJ 08103 | AETNA LIFE INSURANCE CO. | $488K | $28K | $516K | 4.19% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, INC. | 2 AQUARIUM DR STE 200 CAMDEN, NJ 081031000 | KAISER FOUNDATION HEALTH PLAN, INC. | $83K | — | $83K | 2.59% |
| ROSENFELD, JASON E3 | STE F 31400 NORTHWESTERN HWY FARMINGTON HILLS, MI 48334 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $189K | $7K | $196K | 15.57% |
| PECK FINANCIAL SERVICES INC3 Filed as: PECK, RANDALL W | STE 403 7100 CAMINO REAL BOCA RATON, FL 33433 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $63K | $2K | $65K | 5.18% |
| CENTRO BENEFITS RESEARCH LLC3 | STE 300 325 N KIRKWOOD RD KIRKWOOD, MO 63122 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $47K | $47K | 3.75% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE STE 200 CAMDEN, NJ 08103 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $4K | — | $4K | 2.76% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DR STE 200 CAMDEN, NJ 08103 | ZURICH AMERICAN INSURANCE COMPANY | $16K | — | $16K | 15.00% |
| LINDA M NAPOLI3 | 17631 VENTURA BLVD #321 ENCINO, CA 91316 | AFLAC | $9K | $524 | $10K | 9.10% |
| PATRICIA GAIL LEES3 | 1124 CHURCHS CT BURBANK, CA 91501 | AFLAC | $2K | $76 | $2K | 2.28% |
| ERICA GOLDEN3 Filed as: ERICA R GOLDEN | AND VARIOUS AGENTS PO BOX 811094 LOS ANGELES, CA 90081 | AFLAC | $2K | — | $2K | 1.57% |
| ROBERT D TURNER3 Filed as: ROBERT MILER QUICK | 8690 AERO DR STE 115 SAN DIEGO, CA 92123 | AFLAC | $2K | — | $2K | 1.48% |
| RHOEL T VALDEZ3 | 20016 BLYTHE ST WINNETKA, CA 91306 | AFLAC | $965 | $95 | $1K | 1.01% |
| FRANCOISE YVONNE KORENBERG3 | 156 N ORANGE DR LOS ANGELES, CA 90036 | AFLAC | $340 | — | $340 | 0.32% |
| ALFRED RIETKERK3 | 438 PISGAH PIKE PULASKI, TN 38478 | AFLAC | $277 | — | $277 | 0.26% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $2K | — | $2K | 2.94% |
| LINDA M NAPOLI3 Filed as: LINDA MADELEINE NAPOLI | 5335 YARMOUTH AVE UNIT 106 ENCINO, CA 91316 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 6.46% |
| PATRICIA GAIL LEES3 | 1124 CHURCHS COURT BURBANK, CA 91501 | CONTINENTAL AMERICAN INSURANCE COMPANY | $262 | — | $262 | 1.56% |
| DEVITA BETHINA MCKENZIE3 Filed as: DEVITA BETHINA MCKENZIE AND VARIOUS | AGENTS 289 S BURTON AVE SAN GARBRIEL, CA 91776 | CONTINENTAL AMERICAN INSURANCE COMPANY | $81 | — | $81 | 0.48% |
| MYSTI LEE KING3 | 11555 216TH ST 209 LAKEWOOD, CA 90715 | CONTINENTAL AMERICAN INSURANCE COMPANY | $77 | — | $77 | 0.46% |
| FRANCOISE YVONNE KORENBERG3 | 6055 E WASHINGTON BLVD SUITE 460 COMMERCE, CA 90040 | CONTINENTAL AMERICAN INSURANCE COMPANY | $67 | — | $67 | 0.40% |
| RHOEL T VALDEZ3 Filed as: RHOEL TELMO VALDEZ | 340 E 2ND ST #310 LOS ANGELES, CA 90012 | CONTINENTAL AMERICAN INSURANCE COMPANY | $46 | — | $46 | 0.27% |
| RAVONE M GRAHAM3 | 5329 PASEO GILBERTO YORBA LINDA, CA 92886 | CONTINENTAL AMERICAN INSURANCE COMPANY | $35 | — | $35 | 0.21% |
| CORPORATE SYNERGIES GROUP LLC3 | 200 EAST PARKDRIVE STE 600 MOUNT LAUREL, NJ 08054 | HARTFORD LIFE AND ACCIDENT | $938 | — | $938 | 15.01% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS,CORP | 400 N PONCE DE LEON BLVD SAINT AUGUSTINE, FL 32084 | HARTFORD LIFE AND ACCIDENT | — | $78 | $78 | 1.25% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES-MT. LAUREL, NJ | PO BOX 654118 DALLAS, TX 75265 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $1K | — | $1K | — |
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 | 809 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 815 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | AETNA LIFE INSURANCE CO. | 1,548 | $15.7M |
| Dental | AETNA LIFE INSURANCE CO. | 1,548 | $12.3M |
| Vision(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 1,548 | $12.3M |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 794 | $1.3M |
| Short-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 794 | $1.4M |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 794 | $1.3M |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 277 | $3.4M |
| Other(6 contracts, 6 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 809 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,548 | — |
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.