No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HORIZON HEALTHCARE SERVICES INC EIN 22-0999690 NONE | Claims processing; Contract Administrator; Other fees Service code 12 | 3 PENN PLAZA EAST NEWARK, NJ 07105 | $630K |
| RICHARD GABRIEL ASSOCIATES EIN 23-2817579 NONE | Actuarial; Direct payment from the plan; Contract Administrator Service code 11 | 601 DRESHER RD SUITE 201 HORSHAM, PA 19044 | $178K |
| UNITED CONCORDIA COMPANIES INC EIN 25-1687586 NONE | Other fees; Claims processing; Contract Administrator Service code 12 | — | $71K |
| WILLIG WILLIAMS AND DAVIDSON EIN 23-2416488 NONE | Legal; Direct payment from the plan Service code 29 | 1845 WALNUT ST 24TH FLOOR PHILADELPHIA, PA 19103 | $46K |
| SEGAL CONSULTING EIN 13-1835864 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $45K |
| PNC BANK EIN 23-1146430 NONE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Custodial (securities) Service code 19 | TWO PNC PLAZA 620 LIBERTY AVE PITTSBURGH, PA 15222 | $39K |
| EXPRESS SCRIPTS INC EIN 43-1420563 NONE | Contract Administrator; Claims processing; Other fees Service code 12 | — | $28K |
| H J KNIGHT INTERNATIONAL EIN 04-2960092 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 30 BRAINTREE HILL OFFICE PARK BRAINTREE, MA 02184 | $24K |
| ANTHONY M PONTARELLI CPA LLC EIN 32-0048632 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 1037 MILLCREEK DR UNIT B FEASTERVILLE, PA 19053 | $6K |
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 | 1,709 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 26 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,735 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION BENEFITS OF AMERICA | 1,745 | $111K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 1,743 | $331K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,745 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.