Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingThe primary carrier changed from the prior filing. The plan has shown it will move. Pitch it again on the next cycle.
Broker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 9 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 9,598 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 108 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 9,706 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DOMINION NATIONAL | 1,729 | $673K |
| Vision(3 contracts, 2 carriers) | VISION BENEFITS OF AMERICA | 4,720 | $247K |
| Life insurance | USABLE LIFE | 8,437 | $626K |
| Prescription drug | EXPRESS SCRIPTS, INC. | 2 | $11K |
| Other(4 contracts, 3 carriers) | USABLE LIFE | 8,437 | $843K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,437 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Dominion National | |
Carrier: Dominion National | |
Carrier: Usable Life | |
Carrier: Fidelity Security Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TRI-STATE ADMINISTRATORS, INC. EIN 22-3478819 NONE | Direct payment from the plan; Plan Administrator Service code 14 | 27 ROLAND AVENUE MOUNT LAUREL, NJ 08054 | $5.0M |
| HORIZON BLUE CROSS BLUE SHIELD EIN 22-0999690 NONE | Direct payment from the plan; Contract Administrator Service code 13 | THREE PENN PLAZA EAST NEWARK, NJ 07105 | $3.6M |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Claims processing; Direct payment from the plan Service code 12 | ONE EXPRESS WAY ST. LOUIS, MO 63121 | $1.5M |
| UNITED CONCORDIA COMPANIES, INC. EIN 25-1687586 NONE | Plan Administrator; Claims processing; Direct payment from the plan Service code 12 | 4401 DEER PATH ROAD HARRISBURG, PA 17110 | $239K |
| O'BRIEN, BELLAND & BUSHINSKY, LLC EIN 37-1467056 NONE | Legal; Direct payment from the plan Service code 29 | 1526 BERLIN ROAD CHERRY HILL, NJ 08003 | $177K |
| BRIAN STRING EIN 21-0681336 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $150K |
| MORGAN, LEWIS & BOCKIUS LLP EIN 23-0891050 NONE | Legal; Direct payment from the plan Service code 29 | 2222 MARKET STREET PHILADELPHIA, PA 19103 | $67K |
| MSPC CERTIFIED PUBLIC ACCOUNTANTS EIN 22-2951202 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 340 NORTH AVENUE EAST CRANFORD, NJ 07016 | $45K |
| VISION BENEFITS OF AMERICA, INC. EIN 25-1149206 NONE | Direct payment from the plan; Insurance services Service code 23 | 400 LYDIA STREET, SUITE 300 CARNEGIE, PA 15106 | $37K |
| CHEIRON INC. EIN 13-4215617 NONE | Actuarial; Direct payment from the plan Service code 11 | 701 EAST GATE DRIVE, SUITE 330 MOUNT LAUREL, NJ 08054 | $23K |
| PNC BANK, NATIONAL ASSOCIATION EIN 22-1146430 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | PO BOX 91309 CLEVELAND, OH 44101 | $15K |
| THE VANGUARD GROUP EIN 23-1945930 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 100 VANGUARD BOULEVARD MALVERN, PA 19355 | $10K |
| DR. ROBERT B. DANIELS EIN 23-2534279 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $7K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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11 filings · 2015 to 2025