| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT BERGMAN3 Filed as: ROBERT A BERGMAN | 123 KILBURN DR CHERRY HILL, NJ 08003 | AETNA LIFE INSURANCE COMPANY | $5K | — | $5K | 0.50% |
| DELAWARE VALLEY HEALTH CARE3 Filed as: DELAWARE VALLEY HLTH CARE COALITION | 2980 SOUTHAMPTON ROAD PHILADELPHIA, PA 19154 | DELTA DENTAL OF PENNSYLVANIA | $3K | — | $3K | 0.47% |
| WADE FINANCIAL INC.3 | 1225 SCARLETT OAK DR CHALFONT, PA 18914 | STANDARD INSURANCE COMPANY | $10K | — | $10K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA EIN 06-6033492 NONE | Contract Administrator Service code 13 | — | $1.2M |
| THE MCKEOGH COMPANY EIN 23-3003375 NONE | Actuarial Service code 11 | — | $91K |
| CHARTWELL INVESTMENT PARTNERS, LLC EIN 36-4776242 NONE | Investment management fees paid directly by plan; Named fiduciary; Investment management; Soft dollars commissions Service code 28 | — | $73K |
| EMPLOYEE A EIN 23-1573070 NONE | Employee (plan) Service code 30 | — | $73K |
| EMPLOYEE B EIN 23-1573070 NONE | Employee (plan) Service code 30 | — | $63K |
| BOYD WATERSON ASSET MGMT, LLC EIN 34-1922005 NONE | Custodial (securities); Named fiduciary; Investment management fees paid directly by plan Service code 19 | — | $63K |
| PLUMBERS LOCAL UNION NO. 690 EIN 23-1173153 AFFILIATE | Other fees Service code 99 | — | $55K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Claims processing Service code 12 | — | $50K |
| WELLS FARGO BANK, N.A. EIN 94-1347393 NONE | Custodial (securities) Service code 19 | — | $43K |
| O'DONOGHUE & O'DONOGHUE LLP EIN 53-0120528 NONE | Legal Service code 29 | — | $38K |
| EMPLOYEE C EIN 23-1573070 NONE | Employee (plan) Service code 30 | — | $33K |
| DANIEL A. WINTERS AND COMPANY, CPAS EIN 23-2586736 NONE | Accounting (including auditing) Service code 10 | — | $30K |
| KANG HAGGERTY & FETBROYT EIN 46-2513534 NONE | Legal Service code 29 | — | $30K |
| EMPLOYEE D EIN 23-1573070 NONE | Employee (plan) Service code 30 | — | $28K |
| EMPLOYEE E EIN 23-1573070 NONE | Employee (plan) Service code 30 | — | $28K |
| EMPLOYEE F EIN 23-1573070 NONE | Employee (plan) Service code 30 | — | $27K |
| ALLIED TRADES ASSISTANCE PROGRAM EIN 23-2591093 NONE | Other fees Service code 99 | — | $26K |
| EMPLOYEE G EIN 23-1573070 NONE | Employee (plan) Service code 30 | — | $26K |
| INVESTMENT PERFORMANCE SERVICES EIN 58-2432390 NONE | Other fees Service code 99 | — | $17K |
| NVA EIN 74-3033381 NONE | Claims processing Service code 12 | — | $7K |
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 | 939 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 121 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 437 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,497 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF PENNSYLVANIA | 2,527 | $711K |
| Life insurance | STANDARD INSURANCE COMPANY | 915 | $97K |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE COMPANY | 1,060 | $942K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,527 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.