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 | — | $262K |
| MARY ZAPPOLO EIN 23-1578380 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $103K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $98K |
| BOYD WATTERSON ASSET MANAGEMENT LLC EIN 34-1922005 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $69K |
| CHARTWELL INVESTMENT PARTNERS EIN 36-4776242 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $66K |
| GUARDIAN NURSES HEALTHCARE ADVOCATE EIN 57-1187937 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $51K |
| JOE MOSKAUSKI EIN 23-1578380 EMPLOYEE | Employee (plan); Recordkeeping fees Service code 30 | — | $50K |
| JENNINGS SIGMOND, P.C. EIN 23-2025670 NONE | Legal; Direct payment from the plan Service code 29 | — | $49K |
| BENECARD PBF EIN 22-2998772 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $47K |
| RAE GROUP LLC EIN 83-4646394 NONE | Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | — | $47K |
| CLARE CREIGHTON EIN 23-1578380 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $30K |
| INVESTMENT PERFORMANCE SERVICES LLC EIN 58-2432392 NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $30K |
| BRIDGEWAY BENEFIT TECHNOLOGIES NONE | Direct payment from the plan; Consulting (general) Service code 16 | 3700 KOPPER RD. 400 BALTIMORE, MD 21227 | $28K |
| ALLIED TRADES ASSISTANCE PROGRAM EIN 23-2591093 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $25K |
| SUSANIN,WIDMAN & BRENNAN, P.C. EIN 23-2265950 NONE | Legal; Direct payment from the plan Service code 29 | — | $20K |
| MWM LAW LLC NONE | Legal; Direct payment from the plan Service code 29 | 333 E. CITY AVE. BALA CYNWYD, PA 19004 | $19K |
| NATIONAL VISION ADMINISTRATORS NONE | Direct payment from the plan; Claims processing Service code 12 | 1200 ROUTE 46 WEST CLIFTON, NJ 07013 | $16K |
| DELTA DENTAL EIN 23-1667011 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $12K |
| WELLS FARGO EIN 94-1347393 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Other services Service code 15 | — | $11K |
| PRINCIPAL FINANCIAL GROUP, INC. EIN 42-1520346 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $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 | 417 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 188 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 106 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 711 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | GERBER LIFE INSURANCE COMPANY | 0 | $666K |
| Other | KEYSTONE HEALTH PLAN EAST | 3 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.