| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PETERMAN BENEFITS3 Filed as: PETERMAN BENEFITS LP | 105 MONTGOMERY AVENUE SUTIE 2051 MONTGOMERYVILLE, PA 18936 | AETNA LIFE INSURANCE CO. | $3K | $0 | $3K | 0.66% |
| PETERMAN BENEFITS3 Filed as: PETERMAN BENEFITS LP | PO BOX 249 MONTGOMERYVILLE, PA 189360249 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $11 | $4K | 4.14% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS CO | 899 CASSATT RD 400 BERWYN PARK STE 200 BERWYN, PA 193121190 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $7 | $2K | 2.49% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PETERMAN BENEFITS LP EIN 20-0559089 BROKER | Insurance agents and brokers Service code 22 | — | $21K |
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 | 111 | 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) | 111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 184 | $446K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 240 | $91K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 240 | $91K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 240 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.