No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA EIN 23-2169745 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $255K |
| JENNINGS SIGMOND, P.C. EIN 23-2025670 NONE | Legal; Direct payment from the plan Service code 29 | — | $116K |
| MARY ZAPPOLO EIN 23-1578380 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $67K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Direct payment from the plan Service code 50 | — | $65K |
| JOE DIEHL EIN 23-1578380 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $60K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $41K |
| JOE MOSKAUSKI EIN 23-1578380 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $39K |
| THE MCKEOGH COMPANY EIN 23-3003375 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $38K |
| SUSANIN,WIDMAN & BRENNAN, P.C. EIN 23-2265950 NONE | Legal; Direct payment from the plan Service code 29 | — | $32K |
| KATHY MADONNA EIN 23-1578380 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $29K |
| JOANN PROCOPIO EIN 23-1578380 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $27K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $21K |
| CHARTWELL INVESTMENT PARTNERS EIN 23-2891239 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $20K |
| WELLS FARGO EIN 94-1347393 NONE | Other services; Custodial (securities); Direct payment from the plan Service code 19 | — | $11K |
| INVESTMENT PERFORMANCE SERVICES LLC EIN 58-2432392 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $10K |
| DELTA DENTAL EIN 23-1667011 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $10K |
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 | 276 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 210 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 486 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KEYSTONE HEALTH PLAN CENTRAL | 3 | $5K |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE COMPANY | 494 | $510K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 494 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.