| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST INC | — | CIGNA HEALTH & LIFE INSURANCE COMPANY | $23K | — | $23K | 1.87% |
| AMWINS3 Filed as: AMWINS GROUP BENEFITS, INC | — | CIGNA HEALTH & LIFE INSURANCE COMPANY | $8K | — | $8K | 0.62% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INDEPENDENCE ADMINISTRATORS NONE | Claims processing; Contract Administrator; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | PO BOX 826989 PHILADELPHIA, PA 191826989 | $1.3M |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $243K |
| CHARTWELL INVESTMENT PARTNERS, LLC EIN 36-4776242 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $218K |
| SIERRA INVESTMENT PARTNERS, INC. EIN 68-0370668 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $193K |
| ROSEANN HAINES EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $186K |
| WEDGE CAPITAL MANAGEMENT EIN 56-1557450 NONE | Soft dollars commissions; Investment management fees paid directly by plan; Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $179K |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. EIN 23-7391136 NONE | Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Other services Service code 12 | — | $160K |
| BASYS INC EIN 52-1796473 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $151K |
| REVOLT GROUP LLC EIN 46-3524964 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $138K |
| ORHAN COSKUNER EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $135K |
| LORD ABBETT & CO. LLC EIN 13-5620131 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $133K |
| LEVEL CARE HEALTH CONSORTIUM EIN 83-2819398 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $123K |
| KIMBERLY SENNES EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $123K |
| MICHELLE DARRAGH EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $117K |
| PROFLEX ADMINISTRATIORS LLC EIN 45-3261121 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $110K |
| VIRGINIA & AMBINDER, LLP EIN 13-4166736 NONE | Legal; Direct payment from the plan Service code 29 | — | $109K |
| KIM TOMPURI EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $99K |
| PENNY CRONK EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $89K |
| ERIN CECCUCCI EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $84K |
| ARCARA ZUCARELLI LENDA & ASSOCIATES EIN 47-1793720 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $83K |
| MARSHALL & MOSS PAYROLL COMPLIANCE EIN 04-3652965 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $82K |
| SLEVIN & HART, P.C. EIN 52-1708613 NONE | Legal; Direct payment from the plan Service code 29 | — | $78K |
| LISA BRIENZA EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $68K |
| MARY SIEMION EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $68K |
| DIMANTRI GAVIN MCINTYRE EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $63K |
| KAREN PALMER EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $63K |
| LISA BIFULCO EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $63K |
| KYLE LAGONEGRO EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $62K |
| LINDA BAZEWICK EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $61K |
| SUSANIN WIDMAN & BRENNAN PC EIN 23-2265950 NONE | Legal; Direct payment from the plan Service code 29 | — | $59K |
| ABIGAIL BONILLA EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $59K |
| EXCELLUS BLUE CROSS BLUE SHIELD EIN 15-0329043 NONE | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator Service code 12 | — | $55K |
| KIMBERLY GERBER EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $54K |
| MARGARET LIGHTFOOT EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $53K |
| ALLYSON NAURONIS EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $52K |
| RYAN-ASHLEY PAOLINO EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $50K |
| FIRST ACTUARIAL CONSULTING, INC. EIN 26-3842522 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $48K |
| EXPRESS SCRIPTS, INC EIN 22-3461740 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $46K |
| MARY YEAGER EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $46K |
| JENNIFER LIVINGSTON EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $45K |
| ALLISON CHARNOW EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $45K |
| JASON RANDOLPH EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $45K |
| ANGELA NORTHRUP EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $43K |
| DIANE SHADDUCK EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $40K |
| RYAN LABS ASSET MANAGEMENT EIN 47-3503928 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $40K |
| AMY CHROPUFKA EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $40K |
| ANNE SIDOTI EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $40K |
| SANDRA REILLY EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $40K |
| CYNTHIA COATS EIN 22-6032181 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $37K |
| JOANN PETERSON EIN 22-6032181 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $34K |
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 | 7,367 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,168 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 9,535 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH & LIFE INSURANCE COMPANY | 1,647 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,647 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.