| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL T RODY INC3 Filed as: MICHAEL T. RODY INC. | 19 SOUTH HIGH STREET WEST CHESTER, PA 19382 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $43K | $2K | $45K | 3.98% |
| EMPLOYEE BENEFITS CORP OF AMERICA3 Filed as: EMPLOYEE BENEFITS CORP. OF AMERICA | 1410 SPRING HILL ROAD, SUITE 150 MCLEAN, VA 22102 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $24K | — | $24K | 2.14% |
| MICHAEL T RODY INC3 Filed as: MICHAEL T RODY INC. | 19 SOUTH HIGH STREET WEST CHESTER, PA 19382 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $42K | — | $42K | 8.03% |
| LOCKTON COMPANIES, LLC3 | 751 ARBOR WAY, SUITE 250 BLUE BELL, PA 19422 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $13K | — | $13K | 2.46% |
| AXA ASSISTANCE, USA5 Filed as: AXA ASSISTANCE USA | 122 SOUTH MICHIGAN AVENUE, SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $245 | $245 | 0.05% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $30 | $30 | 0.01% |
| MICHAEL T RODY INC3 Filed as: MICHAEL T. RODY INC. | 19 SOUTH HIGH STREET WEST CHESTER, PA 19382 | MADISON NATIONAL LIFE INSURANCE COMPANY | $3K | $2K | $5K | 10.61% |
| NORTH AMERICAN BENEFITS COMPANY5 | 20 VALLEY STREAM PARKWAY, SUITE 310 MALVERN, PA 19355 | MADISON NATIONAL LIFE INSURANCE COMPANY | — | $3K | $3K | 5.79% |
| LOCKTON COMPANIES, LLC3 | PO BOX 173850 DENVER, CO 80217 | MADISON NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 4.79% |
| VOLUNTARY BENEFIT ADVISORS3 Filed as: VOLUNTARY BENEFIT SERVICES, LLC | 400 BERWYN PARK, SUITE 200, 899 CASSATT ROAD BERWYN, PA 19312 | MADISON NATIONAL LIFE INSURANCE COMPANY | — | $794 | $794 | 1.65% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS CO. | 400 BERWYN PARK, SUITE 200, 899 CASSATT ROAD BERWYN, PA 19312 | MADISON NATIONAL LIFE INSURANCE COMPANY | — | $588 | $588 | 1.22% |
| BENOIT & ASSOCIATES, INC3 Filed as: BENOIT & ASSOCIATES | 3645 WILLIAMS BOULEVARD, SUITE 101 KENNER, LA 70065 | MADISON NATIONAL LIFE INSURANCE COMPANY | — | $332 | $332 | 0.69% |
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 | 942 | 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) | 942 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KEYSTONE | 616 | $9.0M |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 774 | $257K |
| Vision | NATIONAL VISION ADMINISTRATORS, LLC | 341 | $21K |
| Life insurance(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 982 | $570K |
| Short-term disability(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 982 | $570K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 982 | $522K |
| Prescription drug(2 contracts, 2 carriers) | CAPITAL ADVANTAGE ASSURANCE COMPANY | 218 | $2.6M |
| Other(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 982 | $570K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 982 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.