No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CAREFIRST BLUECROSS BLUESHIELD EIN 52-1385894 | Direct payment from the plan; Claims processing Service code 12 | — | $1.1M |
| SLEVIN & HART, P.C. EIN 52-1708613 | Direct payment from the plan; Legal Service code 29 | — | $295K |
| SZYMCZAK, ALLEN EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $272K |
| MORGAN LEWIS & BOCKIUS LLP EIN 23-0891050 | Legal; Direct payment from the plan Service code 29 | — | $260K |
| THE SEGAL CO (EASTERN STATES), INC EIN 13-1835864 | Direct payment from the plan; Actuarial; Consulting fees; Consulting (general) Service code 11 | — | $229K |
| AMERICAN HEALTH HOLDING INC EIN 31-1368946 | Direct payment from the plan; Other services Service code 49 | — | $224K |
| GILCHRIST, ANN EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $168K |
| FABELLA, SANDRA EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $149K |
| WAGNER, JULIE A. EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $133K |
| GILLOGLY, NORMA L. EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $118K |
| KELLY, J. PATRICIA EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $117K |
| FORTUNE, KAREN A. EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $103K |
| STRANATHAN, MATTHEW EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $97K |
| DELTA DENTAL OF PENNSYLVANIA EIN 23-1667011 | Direct payment from the plan; Claims processing Service code 12 | — | $97K |
| GEISE, PAMELA A. EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $90K |
| FIELD, GRETCHEN EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $90K |
| TRUMPS, DAWN M. EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $88K |
| BASYS INC EIN 52-1796473 | Other services; Direct payment from the plan Service code 49 | — | $84K |
| COLLETT, KATHLEEN EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $82K |
| DEROS, JESSICA L. EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| MCCURDY, KATHLEEN A. EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| JONES, STEPHANIE EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| FOURTNER, RONALD EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $76K |
| WALTER JR., JAMES F. EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $74K |
| BIRMINGHAM, MARY EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $73K |
| MASTRICOLA, MICHAEL EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $71K |
| GRESCZYK, THOMAS A. EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $70K |
| BUCHBINDER TUNICK & COMPANY LLP EIN 13-1578842 | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $69K |
| GOOD FAITH MEDICAL INC EIN 86-0965652 | Direct payment from the plan; Other services Service code 49 | — | $68K |
| BOPST, NANCY J. EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $63K |
| SEILER, LORRAINE EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $63K |
| LAFINER, MARY JEAN EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $63K |
| MARAFIOTI, CARLY EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $62K |
| KANSCHAT, N. JEAN EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $62K |
| TORNABENE, JANET E. EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $60K |
| GALARZA, ANNA M. EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $59K |
| BUFALINO, JEANNE R. EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $58K |
| STOFFREGEN, DINA M. EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $58K |
| BAIN, KARON EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $57K |
| BROWN-BRANCH, JUDY EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $56K |
| KLEYTMAN, MARIA EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $56K |
| STARITA, MARY EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $55K |
| COOPER, ELIZABETH EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $54K |
| COOK, BRENDA K. EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $54K |
| STAMM-JONES, JENNIFER EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $53K |
| KOSTREBA, CHERYL EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $53K |
| FRAUENHOFER, MARY EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $53K |
| BALDWIN, DEBRA EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $52K |
| HARRIS, PATRICIA L. EIN 13-5590515 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $52K |
| GALE, ALLISON M. EIN 13-5590515 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $50K |
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 | 1,821 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,648 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,469 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 19 | $245K |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 1,861 | $0 |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,043 | $123K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 97 | $30K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 2,709 | $438K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,043 | $123K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,709 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.