| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE HEALTHCARE STRATEGIES LLC3 | 101 NORTH POINT BLVD LANCASTER, PA 17601 | CAPITAL ADVANTAGE ASSURANCE COMPANY | $38K | — | $38K | 2.48% |
| CRAWFORD ADVISORS, LLC Filed as: CRAWFORD ADVISORS LLC | 200 INTERNATIONAL CIRCLE HUNT VALLEY, MD 21031 | CAPITAL ADVANTAGE ASSURANCE COMPANY | $8K | — | $8K | 0.52% |
| CRAWFORD ADVISORS, LLC Filed as: CRAWFORD ADVISORS LLC | 200 INTERNATIONAL CIRCLE HUNT VALLEY, MD 21031 | DELTA DENTAL OF PENNSYLVANIA | $3K | — | $3K | 3.64% |
| CORPORATE HEALTHCARE STRATEGIES LLC3 | 280 GRANITE RUN DRIVE, SUITE 250 LANCASTER, PA 17601 | DELTA DENTAL OF PENNSYLVANIA | $2K | — | $2K | 2.36% |
| PENNSYLVANIA AUTO ASSOC INS AGY INC3 | 1925 NORTH FRONT STREET HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | $3K | $2K | $5K | 28.49% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLANHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $1K | — | $1K | 6.70% |
| CORPORATE HEALTHCARE STRATEGIES LLC3 | 280 GRANITE RUN DRIVE, SUITE 250 LANCASTER, PA 17601 | NATIONAL VISION ADMINISTRATORS | $583 | — | $583 | 5.00% |
| CRAWFORD ADVISORS, LLC3 Filed as: CRAWFORD ADVISORS LLC | 200 INTERNATIONAL CIRCLE SUITE 4500 HUNT VALLEY, MD 21031 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $500 | — | $500 | 10.00% |
No Schedule C service providers reported on this filing.
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 | 200 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 202 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CAPITAL ADVANTAGE ASSURANCE COMPANY | 170 | $1.5M |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 252 | $79K |
| Vision | NATIONAL VISION ADMINISTRATORS | 246 | $12K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 200 | $5K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 207 | $17K |
| Prescription drug | CAPITAL ADVANTAGE ASSURANCE COMPANY | 170 | $1.5M |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 200 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 252 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.