| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DEL. VALLEY HEALTH CARE COALITION3 | 2980 SOUTHAMPTON ROAD PHILADELPHIA, PA 19154 | DELTA DENTAL OF PENNSYLVANIA | $1K | — | $1K | 0.27% |
| STEVEN RODIA3 | 136 GARRETT AVE. ROSEMONT, PA 19010 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $29K | — | $29K | 7.51% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| USW DISTRICT 10 LOCAL 286 UNION EIN 23-0724665 SPONSORING LABOR ORGAN. | Direct payment from the plan; Plan Administrator Service code 14 | — | $355K |
| CONNER STRONG COMPANIES EIN 21-0718159 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $75K |
| CARLO SIMONE, III. EIN 23-0724665 EMPLOYEE | Recordkeeping fees; Other fees; Employee (plan) Service code 30 | — | $74K |
| TOTAL CARE NETWORK, INC NONE | Other services; Direct payment from the plan Service code 49 | 1341 N. DELAWARE AVE PHILADELPHIA, PA 19004 | $49K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $29K |
| SPEAR WILDERMAN PC EIN 23-2749511 LEGAL COUNSEL TO USW L286 | Legal; Direct payment from the plan Service code 29 | — | $28K |
| SOBOL & SOBOL, P.C. EIN 36-4509261 NONE | Legal; Direct payment from the plan Service code 29 | — | $28K |
| MORGAN STANEY SMITH BARNEY LLC EIN 26-4310632 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $14K |
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 | 1,302 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,305 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF PENNSYLVANIA | 2,538 | $426K |
| Vision | INDEPENDENCE BLUE CROSS | 2,558 | $846K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,363 | $386K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,363 | $386K |
| Prescription drug(3 contracts, 3 carriers) | KEYSTONE HEALTH PLAN EAST | 3,981 | $18.9M |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,363 | $386K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,981 | — |
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.
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.