| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE HEALTHCARE STRATEGIES LLC3 Filed as: CORPORATE HEALTHCARE STRATEGIES | 280 GRANITE RUN DRIVE, SUITE 250 LANCATER, PA 17601 | HEALTHAMERICA OF PENNSYLVANIA, INC. | $19K | $0 | $19K | 1.53% |
| CRAWFORD ADVISORS, LLC3 | 200 INTERNATIONAL CIRCLE, 4500 HUNT VALLEY, MD 21031 | HEALTHAMERICA OF PENNSYLVANIA, INC. | $6K | $0 | $6K | 0.47% |
| ASSUREDPARTNERS3 Filed as: INGROUP ASSOCIATES INC | 448 MURRY HILL CIRCLE LANCASTER, PA 17601 | PRUDENTIAL | $8K | $0 | $8K | 8.74% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE, SUITE 11 CHICAGO, IL 606036115 | PRUDENTIAL | $0 | $88 | $88 | 0.09% |
| CORPORATE HEALTHCARE STRATEGIES LLC3 | 280 GRANITE RUN DRIVE, SUITE 250 LANCASTER, PA 17601 | COVENTRY HEALTH AND LIFE | $249 | $0 | $249 | 1.53% |
| CRAWFORD ADVISORS, LLC3 Filed as: CRAWFORD ADVISORS, LLC. | 200 INTERNATIONAL CIRCLE, 4500 HUNT VALLEY, MD 21031 | COVENTRY HEALTH AND LIFE | $76 | $0 | $76 | 0.47% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PRUDENTIAL INSURANCE COMPANY OF AME | Claims processing Service code 12 | — | $2K |
| PRUDENTIAL INSURANCE COMPANY OF AM EIN 22-1211670 ADMIN | Claims processing Service code 12 | — | $0 |
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 | 229 | 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) | 229 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTHAMERICA OF PENNSYLVANIA, INC. | 205 | $1.2M |
| Life insurance | PRUDENTIAL | 229 | $94K |
| Short-term disability | PRUDENTIAL | 229 | $94K |
| Long-term disability | PRUDENTIAL | 229 | $94K |
| Other | PRUDENTIAL | 229 | $94K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 229 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.