| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRINITY BENEFIT ADVISORS, INC.3 Filed as: TRINITY BENEFIT ADVISORS | 660 AMERICAN AVE SUITE 101 KING OF PRUSSIA, PA 19406 | UNION SECURITY INS.CO. | $926 | $0 | $926 | 6.00% |
| TRINTIY BENEFIT ADVISORS3 | 660 AMERICAN AVE SUITE 101 KING OF PRUSSIA, PA 19406 | THE LINCOLN NATIONAL LIFE INS. CO. | $2K | $0 | $2K | 14.89% |
| TRINITY BENEFIT ADVISORS, INC.3 Filed as: TRINITY BENEFIT ADVISORS | 660 AMERICAN AVE SUITE 101 KING OF PRUSSIA, PA 19406 | THE LINCOLN NATIONAL LIFE INS. CO. | $1K | $0 | $1K | 11.55% |
| TRINITY BENEFIT ADVISORS, INC.3 Filed as: TRINITY BENEFIT ADVISORS | 660 AMERICAN AVE STE 101 KING OF PRUSSIA, PA 19406 | SUN LIFE ASSURANCE COMPANY OF CANADA | $937 | $0 | $937 | 8.56% |
| TRINITY BENEFIT ADVISORS, INC.3 Filed as: TRINITY BENEFIT ADVISORS | 660 AMERICAN AVE SUITE 101 KING OF PRUSSIA, PA 19406 | THE LINCOLN NATIONAL LIFE INS. CO. | $953 | $0 | $953 | 12.43% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INDEPENDENCE ADMINISTRATORS EIN 23-2184623 ADMIN | Claims processing Service code 12 | — | $32K |
| TRINITY BENEFIT ADVISORS BROKER | Insurance agents and brokers Service code 22 | 660AMERICAN AVE SUITE 101 KING OF PRUSSIA, PA 19406 | $28K |
| BENECON EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $12K |
| CONNECTCARE3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $4K |
| AETNA EIN 06-6033492 ADMIN | Claims processing Service code 12 | — | $246 |
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 | 79 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 80 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | UNION SECURITY INS.CO. | 58 | $26K |
| Life insurance | THE LINCOLN NATIONAL LIFE INS. CO. | 79 | $8K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INS. CO. | 66 | $12K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INS. CO. | 65 | $15K |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE CO. | 54 | $168K |
| Other(2 contracts, 2 carriers) | UNION SECURITY INS.CO. | 79 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 79 | — |
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.