| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF PENNA LP | THE CURTIS CENTER 601 WALNUT STREET #805 PHILADELPHIA, PA 19106 | INDEPENDENCE BLUE CROSS | — | $14K | $14K | 0.41% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF PENNA LP | THE CURTIS CENTER 601 WALNUT STREET #805 PHILADELPHIA, PA 19106 | INDEPENDENCE BLUE CROSS | $0 | $4K | $4K | 0.42% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF PENNA LP | THE CURTIS CENTER 601 WALNUT STREET #805 PHILADELPHIA, PA 19106 | INDEPENDENCE BLUE CROSS | — | $1K | $1K | 1.32% |
| TRIBEN INSURANCE SOLUTIONS INC3 | 24 E SECOND STREET, FLOOR 1 MEDIA, PA 19063 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $11K | $2K | $13K | 17.46% |
| TRIBEN INSURANCE SOLUTIONS INC3 | 24 E SECOND STREET, FLOOR 1 MEDIA, PA 19063 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $1K | $7K | 12.10% |
| TRIBEN INSURANCE SOLUTIONS INC3 | 24 E SECOND STREET, FLOOR 1 MEDIA, PA 190632906 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $1K | $6K | 12.10% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF PENNA LP | THE CURTIS CENTER 601 WALNUT STREET #805 PHILADELPHIA, PA 19106 | INDEPENDENCE BLUE CROSS | — | $7K | $7K | 16.92% |
| TRIBEN INSURANCE SOLUTIONS INC3 Filed as: TRIBEN INSURANCE SOLUTIONS | 24 EAST 2ND STREET, 1ST FLOOR MEDIA, PA 19063 | EYEMED VISION CARE | $3K | — | $3K | 9.90% |
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 | 304 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 68 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 372 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | INDEPENDENCE BLUE CROSS | 77 | $42K |
| Dental | DELTA DENTAL OF PA | 685 | $232K |
| Vision | EYEMED VISION CARE | 680 | $29K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 373 | $128K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 304 | $51K |
| Prescription drug(2 contracts) | INDEPENDENCE BLUE CROSS | 548 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 685 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.