| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AP BENEFIT ADVISORS, LLC3 | 21 EAST 5TH AVENUE, STE 204 CONSHOHOCKEN, PA 19428 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $13K | — | $13K | 4.92% |
| AP BENEFIT ADVISORS, LLC3 | 21 E 5TH AVE, STE 205 CONSHOHOCKEN, PA 19428 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $19K | — | $19K | 7.64% |
| AMERIHEALTH ADMINISTRATORS INC3 | P.O. BOX 21545 EAGAN, MN 55121 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 2.00% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS CAPITAL INC | DBA AP BENEFIT ADVISORS LLC 200 INTERNATIONAL CIRCLE, STE 4500 HUNT VALLEY, MD 21031 | VISION SERVICE PLAN | $4K | — | $4K | 4.92% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INDEPENDENCE ADMINISTRATORS EIN 23-2184623 HEALTH ADMIN | Contract Administrator; Claims processing Service code 12 | — | $309K |
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 | 880 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 29 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 913 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 676 | $265K |
| Vision | VISION SERVICE PLAN | 562 | $72K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 880 | $249K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 880 | $249K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 880 | $249K |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 880 | $249K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 880 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.