| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT BERGMAN3 | 123 KILBURN DRIVE CHERRY HILL, NJ 08003 | AMALGAMATED LIFE INSURANCE CO. | $48K | — | $48K | 6.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INDEPENDENCE BLUE CROSS EIN 23-2184623 NONE | Claims processing Service code 12 | — | $1.2M |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Insurance agents and brokers; Actuarial Service code 11 | — | $140K |
| ALBERT FRATTALI EIN 23-1599740 EMPLOYEE | Employee (plan) Service code 30 | — | $139K |
| STEPHEN CONLEY EIN 23-1599740 EMPLOYEE | Employee (plan) Service code 30 | — | $128K |
| LEADER DATA PROCESSING NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 75 KIWANIS BLVD. WEST HAZLETON, PA 18201 | $111K |
| JOSEPH GUNN EIN 23-1599740 EMPLOYEE | Employee (plan) Service code 30 | — | $93K |
| CLEARY & JOSEM, LLP EIN 23-2657967 NONE | Legal Service code 29 | — | $78K |
| DANIEL JORDAN EIN 23-1599740 EMPLOYEE | Employee (plan) Service code 30 | — | $76K |
| TELEMEDICINE MANAGMENT NONE | Consulting (general) Service code 16 | 801 SPRINGDALE DRIVE EXTON, PA 19341 | $61K |
| BONNIE LANDSMANN EIN 23-1599740 EMPLOYEE | Employee (plan) Service code 30 | — | $61K |
| MICHAEL PENNA EIN 23-1599740 EMPLOYEE | Employee (plan) Service code 30 | — | $51K |
| SUSANIN WIDMAN & BRENNAN, PC NONE | Legal Service code 29 | 656 EAST SWEDESFORD ROAD SUITE 330 WAYNE, PA 19087 | $49K |
| ALLIED TRADE EIN 23-2591093 NONE | Consulting (general) Service code 16 | — | $48K |
| ENVISION RX OPTIONS EIN 05-0570786 NONE | Claims processing Service code 12 | — | $48K |
| FISCHER DORWART, P.C. EIN 23-2247478 NONE | Accounting (including auditing) Service code 10 | — | $47K |
| ATALANTA SOSNOFF CAPITAL NONE | Securities brokerage commissions and fees; Other investment fees and expenses; Soft dollars commissions; Investment management Service code 28 | 101 PARK AVENUE NEW YORK, NY 10178 | $44K |
| SCHULTHEIS & PANETTI LLP NONE | Accounting (including auditing) Service code 10 | 210 MARCUS BOULEVARD HAUPPAUGE, NY 11788 | $41K |
| DENISE MCDYRE EIN 23-1599740 EMPLOYEE | Employee (plan) Service code 30 | — | $36K |
| KATHLEEN ROWE EIN 23-1599740 EMPLOYEE | Employee (plan) Service code 30 | — | $27K |
| JACQUELINE WHARTON EIN 23-1599740 EMPLOYEE | Employee (plan) Service code 30 | — | $25K |
| NATIONAL VISION ADMINISTRATORS EIN 74-3033381 NONE | Claims processing Service code 12 | — | $22K |
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 | 1,625 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 37 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,662 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | FIDELIO INSURANCE COMPANY | 1,762 | $1.6M |
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 1,625 | $297K |
| Short-term disability | AMALGAMATED LIFE INSURANCE COMPANY | 1,625 | $113K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE CO. | 1,625 | $802K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,762 | — |
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.