| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RAKESH BANSAL3 Filed as: RAKESH R. BANSAL | 1 HORSESHOE COURT MONROE, NJ 08831 | SUN LIFE ASSURANCE COMPANY OF CANADA | $36K | — | $36K | 9.15% |
| RAKESH BANSAL3 | 1 HORSESHOE COURT MONROE, NJ 08831 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | — | $11K | 9.23% |
| NY LIFE SECURITIES LLC3 | 51 MADISON AVENUE ROOM 606 NEW YORK, NJ 08831 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $973 | — | $973 | 0.85% |
| RAKESH BANSAL3 | 1 HORSESHOE COURT MONROE, NJ 08831 | ZURICH NORTH AMERICAN INSURANCE COMPANY | $3K | — | $3K | 9.93% |
| BOLLINGER INC3 Filed as: BOLLINGER INC. | 200 JEFFERSON PARK WHIPPANY, NJ 07981 | FEDERAL INSURANCE COMPANY | $6K | $155 | $6K | 20.50% |
| RAKESH BANSAL3 | 1 HORSESHOE COURT MONROE TOWNSHIP, NJ 08831 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 17.43% |
| NYLIFE SECURITIES LLC3 | 51 MADISON AVENUE ROOM 606 NEW YORK, NY 10010 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $268 | — | $268 | 0.87% |
| RAKESH BANSAL3 Filed as: RAKESH R.BANSAL | 1 HORSESHOE COURT MONROE, NJ 08831 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5K | $690 | $6K | 26.83% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC. EIN 33-0441200 NONE | Other fees; Direct payment from the plan; Float revenue; Claims processing Service code 12 | — | $878K |
| UMR, INC. EIN 39-1995276 NONE | Claims processing Service code 12 | — | $304K |
| RAKESH BANSAL NONE | Other commissions; Insurance agents and brokers Service code 22 | 1 HORSESHOE COURT MONROE, NJ 088312368 | $148K |
| BOLLINGER INC. NONE | Insurance agents and brokers Service code 22 | 200 JEFFESON PARK WHIPPANY, NJ 07981 | $6K |
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 | 372 | 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) | 372 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 369 | $21K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 372 | $145K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 372 | $114K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 372 | $114K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 369 | $424K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 372 | $176K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 372 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.