| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CREATIVE BENEFITS, INC.3 Filed as: CREATIVE BENEFITS INC | 3809 WEST CHESTER PIKE SUITE 190 NEWTOWN SQUARE, PA 19073 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $7K | $1K | $8K | 11.54% |
| ROTH VOLUNTARY BENEFIT SERVICES INC3 Filed as: ROTH VOLUNTARY BENEFITS SERVICES | 9 DEARBORN LN. BEAR, DE 19701 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $1K | $5K | 7.59% |
| FULVIO A. ACOSTA3 | 15017 WORTHINGTON ROAD PHILADELPHIA, PA 19116 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 3.44% |
| O'NEILL VOLUNTARY BENEFIT SERVICES3 | 109 BELLFIELD CT. HOCKESSIN, DE 19707 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 2.46% |
| EDUARDO TUCTO3 | 16 OCEAN PKWY. BROOKLYN, NY 11218 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $734 | $316 | $1K | 1.60% |
| BRAD BIEL3 Filed as: BRAD LEE MUNDY | 108 BALMORE LN. WILMINGTON, DE 19808 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $674 | $195 | $869 | 1.32% |
| EMANUEL JULIAN ASURZA3 | 10445 ATLANTIC AVE. RICHMOND HILL, NY 11418 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $546 | $230 | $776 | 1.18% |
| NICHOLAS CUSMANO3 | 79 PORT HERMAN RD. CHESAPEAKE CITY, MD 21915 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $491 | $76 | $567 | 0.86% |
| GENEVA HODGE3 | 19950 LAKE PARK DR. GERMANTOWN, MD 20874 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $346 | — | $346 | 0.53% |
| LAUREN ASHLEY PERRI3 | 775 ROUTE 70 E., STE. F100 MARLTON, NJ 08053 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $198 | $94 | $292 | 0.44% |
| LISA A PERRI3 | 775 ROUTE 70 E., STE. F100 MARLTON, NJ 08053 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $114 | $139 | $253 | 0.39% |
| ROCHELLE DIANE KELLY-PERRY THOMAS3 | 46 IVY DR. JERICHO, NY 11753 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $109 | $30 | $139 | 0.21% |
| MICAHEL J. PERRI3 | 775 ROUTE 70 E., STE. F100 MARLTON, NJ 08053 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $65 | $36 | $101 | 0.15% |
| SHANE THOMAS WILLIAMS3 | 149 E. MORELAND AVE. HATBORO, PA 19040 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $65 | — | $65 | 0.10% |
| EDWARD J WILLIAMS3 | PO BOX 1716 MEDIA, PA 19063 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $65 | — | $65 | 0.10% |
| EM PROPERTY & CASUALTY LLC3 | 13500 SW. 88TH ST., STE 287 MIAMI, FL 33186 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $41 | $20 | $61 | 0.09% |
| TULASI ANGELICA ASURZA3 | 4679 SW. 154TH CT. MIAMI, FL 33185 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $41 | $14 | $55 | 0.08% |
| SCOTT WAYNE HARMON3 | 4217 MATTHEWS LANE KENSINGTON, MD 20895 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $52 | — | $52 | 0.08% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS GENERAL | 400 BERWYN PARK, SUITE 200 BERWYN, PA 19312 | UNITED CONCORDIA INSURANCE COMPANY | $2K | — | $2K | 6.10% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: BENEFITMALL.COM/CENTERSTONE | 12404 PARK CENTRAL DR., SUITE 400S DALLAS, TX 75251 | UNITED CONCORDIA INSURANCE COMPANY | $2K | — | $2K | 5.29% |
| CREATIVE BENEFITS, INC.3 | 3809 WEST CHESTER PIKE SUITE 190 NEWTOWN SQUARE, PA 19073 | EQUITABLE LIFE INSURANCE COMPANY OF AMERICA | $505 | — | $505 | 13.91% |
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 | 145 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 145 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | INDEPENDENCE BLUE CROSS | 72 | $634K |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 141 | $40K |
| Vision | INDEPENDENCE BLUE CROSS | 72 | $430K |
| Life insurance | EQUITABLE LIFE INSURANCE COMPANY OF AMERICA | 145 | $4K |
| Prescription drug | INDEPENDENCE BLUE CROSS | 72 | $430K |
| Other | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 85 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 145 | — |
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.