| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RAKESH BANSAL3 Filed as: RAKESH R BANSAL | 1 HORSESHOE CT MONROE TOWNSHIP, NJ 08831 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 3.30% |
| NYLIFE SECURITIES LLC3 | 51 MADISON AVE ROOM 606 NEW YORK, NY 10010 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $781 | $781 | 0.59% |
| BOLLINGER INC3 | 200 JEFFERSON PARK WHIPPANY, NJ 07981 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $607 | — | $607 | 0.46% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 2 PIERCE PLACE 14TH FLOOR ITASCA, IL 60143 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $362 | $362 | 0.27% |
| RAKESH BANSAL3 Filed as: RAKESH R BANSAL | 1 HORSESHOE CT MONROE TOWNSHIP, NJ 08831 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 9.36% |
| BOLLINGER INC3 | 200 JEFFERSON PARK WHIPPANY, NJ 07981 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $989 | — | $989 | 2.85% |
| NYLIFE SECURITIES LLC3 | 51 MADISON AVE ROOM 606 NEW YORK, NY 10010 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $162 | $162 | 0.47% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 2 PIERCE PLACE 14TH FLOOR ITASCA, IL 60143 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $82 | $82 | 0.24% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC. EIN 33-0441200 | Direct payment from the plan; Other fees; Float revenue; Claims processing Service code 12 | 2300 MAIN STREET IRVINE, CA 92614 | $1.0M |
| UMR, INC. EIN 39-1995276 | Claims processing Service code 12 | 11 SCOTT STREET WAUSAU, WI 54403 | $307K |
| RAKESH BANSAL EIN 05-4709730 | Other commissions Service code 55 | 1 HORSESHOE CT MONROE, NJ 08831 | $62K |
| BOLLINGER INC. EIN 22-0781130 | Other commissions Service code 55 | 200 JEFFERSON PARK WHIPPANY, NJ 07981 | $30K |
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 | 367 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 367 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 367 | $168K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 367 | $133K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 367 | $133K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 367 | $168K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 367 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.