| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EHD3 | 1857 WILLIAM PENN WAY, PO BOX 11600 LANCASTER, PA 17605 | DELTA DENTAL OF PENNSYLVANIA | $618 | — | $618 | 2.17% |
| EHD3 | 1857 WILLIAM PENN WAY, PO BOX 11600 LANCASTER, PA 17605 | VISION BENEFITS OF AMERICA | $419 | — | $419 | 5.00% |
| EHD3 | 1857 WILLIAM PENN WAY, PO BOX 11600 LANCASTER, PA 17605 | MADISON NATIONAL LIFE INSURANCE COMPANY | $255 | $85 | $340 | 16.00% |
| NORTH AMERICAN BENEFITS COMPANY5 | 20 VALLEY STREAM PARKWAY, SUITE 310 MALVERN, PA 19355 | MADISON NATIONAL LIFE INSURANCE COMPANY | — | $202 | $202 | 9.51% |
No Schedule C service providers reported on this filing.
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 | 117 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF PENNSYLVANIA | 105 | $28K |
| Vision | VISION BENEFITS OF AMERICA | 80 | $8K |
| Life insurance | MADISON NATIONAL LIFE INSURANCE COMPANY | 117 | $2K |
| Other | MADISON NATIONAL LIFE INSURANCE COMPANY | 117 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 117 | — |
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.