| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON PARTENRS INC | 325 SENTRY PARKWAY EAST BUILDING 5, SUITE 200 BLUE BELLL, PA 19422 | THE UNION LABOR LIFE INSURANCE COMPANY | $37K | — | $37K | 3.41% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| IRON WORKERS LOCAL 11 WELFARE FUND EIN 22-6041517 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $615K |
| INDEPENDENCE BLUE CROSS EIN 23-2184623 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $580K |
| GUARDIAN NURSES HEALTHCARE ADVOCATE NONE | Direct payment from the plan; Claims processing Service code 12 | 1201 BETHLEHEM PIKE FLOURTOWN, PA 19031 | $172K |
| BOLTON PARTNERS NONE | Direct payment from the plan; Actuarial Service code 11 | 325 SENTRY PARKWAY EAST SUITE 100 BLUE BELL, PA 19422 | $147K |
| BONNIE LANDSMANN EIN 23-1599740 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $96K |
| CLEARY & JOSEM, LLP EIN 23-2657967 NONE | Legal; Direct payment from the plan Service code 29 | — | $90K |
| BENECARD NONE | Direct payment from the plan; Claims processing Service code 12 | 3131 PRINCETON AVE LAWRENCEVILLE, NJ 08648 | $86K |
| BRIDGEWAY BENEFIT TECHNOLOGIES NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 3700 KOPPERS STREET, SUITE 400 BALTIMORE, MD 21227 | $70K |
| MORGAN STANLEY EIN 26-4310632 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $70K |
| EXPRESS SCRIPTS NONE | Direct payment from the plan; Claims processing Service code 12 | 1 EXPRESS WAY ST. LOUIS, MO 63121 | $55K |
| LEADER DATA PROCESSING NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 75 KIWANIS BLVD. WEST HAZLETON, PA 18201 | $53K |
| SUSANIN WIDMAN & BRENNAN, PC NONE | Legal; Direct payment from the plan Service code 29 | 656 EAST SWEDESFORD ROAD SUITE 330 WAYNE, PA 19087 | $48K |
| FISCHER DORWART, P.C. EIN 23-2247478 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $43K |
| ERNST & YOUNG NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 2005 MARKET ST STE 700 PHILADELPHIA, PA 19103 | $43K |
| KATHLEEN ROWE EIN 23-1599740 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $36K |
| ALLIED TRADE EIN 23-2591093 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $32K |
| DANIEL JORDAN EIN 23-1599740 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $29K |
| OLMEC SYSTEM LLC EIN 22-3461295 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $12K |
| WEAVER BARKSDALE & ASSOCIATES NONE | Investment management fees paid directly by plan; Investment management Service code 28 | ONE BURTON HILLS BLVD. SUITE 100 NASHVILLE, TN 37215 | $11K |
| NATIONAL VISION ADMINISTRATORS EIN 74-3033381 NONE | Claims processing; Direct payment from the plan 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 | 1,556 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 344 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,900 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | FIDELIO INSURANCE COMPANY | 1,900 | $1.6M |
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 1,618 | $209K |
| Short-term disability | AMALGAMATED LIFE INSURANCE COMPANY | 1,575 | $121K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,579 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,900 | — |
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."
No prospect flags tripped on this filing.