| 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 | $24K | — | $24K | 3.05% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INDEPENDENCE BLUE CROSS EIN 23-2184623 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $783K |
| IRON WORKERS LOCAL 11 WELFARE FUND EIN 22-6041517 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $550K |
| BENECARD NONE | Direct payment from the plan; Claims processing Service code 12 | 3131 PRINCETON AVE LAWRENCEVILLE, NJ 08648 | $243K |
| BOLTON PARTNERS NONE | Actuarial; Direct payment from the plan Service code 11 | 325 SENTRY PARKWAY EAST SUITE 100 BLUE BELL, PA 19422 | $177K |
| CLEARY & JOSEM, LLP EIN 23-2657967 NONE | Legal; Direct payment from the plan Service code 29 | — | $111K |
| DANIEL JORDAN EIN 23-1599740 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $91K |
| BONNIE LANDSMANN EIN 23-1599740 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $90K |
| 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 | $90K |
| BASYS, INC EIN 52-1796473 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $70K |
| BRIDGEWAY BENEFIT TECHNOLOGIES NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 3700 KOPPERS STREET, SUITE 400 BALTIMORE, MD 21227 | $62K |
| KATHLEEN ROWE EIN 23-1599740 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $43K |
| ERNST & YOUNG NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 2005 MARKET ST STE 700 PHILADELPHIA, PA 19103 | $41K |
| FISCHER DORWART, P.C. EIN 23-2247478 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $40K |
| SUSANIN WIDMAN & BRENNAN, PC NONE | Legal; Direct payment from the plan Service code 29 | 656 EAST SWEDESFORD ROAD SUITE 330 WAYNE, PA 19087 | $35K |
| ALLIED TRADE EIN 23-2591093 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $26K |
| MORGAN STANLEY EIN 26-4310632 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $25K |
| ATALANTA SOSNOFF CAPITAL NONE | Securities brokerage commissions and fees; Investment management fees paid directly by plan; Other investment fees and expenses; Investment management; Soft dollars commissions Service code 28 | 101 PARK AVENUE NEW YORK, NY 10178 | $19K |
| OLMEC SYSTEM LLC EIN 22-3461295 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $15K |
| NATIONAL VISION ADMINISTRATORS EIN 74-3033381 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $8K |
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 | 1,382 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 359 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,741 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | FIDELIO INSURANCE COMPANY | 1,471 | $1.4M |
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 1,741 | $234K |
| Short-term disability | AMALGAMATED LIFE INSURANCE COMPANY | 1,391 | $119K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,468 | $793K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,741 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.