| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PAUL I. SHEAFFER INSURANCE AGENCY3 | 3541 OLD PHILADELPHIA PIKE INTERCOURSE, PA 17534 | PRINCIPAL LIFE INSURANCE COMPANY | $74K | — | $74K | 10.86% |
| EMERSON REID LLC3 | 350 5TH AVE STE 3700 NEW YORK, NY 101183799 | PRINCIPAL LIFE INSURANCE COMPANY | $20K | — | $20K | 3.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CORESOURCE, INC. EIN 35-1846036 N/A | Claims processing; Other services; Plan Administrator Service code 12 | 1280 N PLUM STREET LANCASTER, PA 17601 | $507K |
| AETNA-PPO EIN 06-6033492 N/A | Other services; Claims processing Service code 12 | 151 FARMINGTON AVE. HARTFORD, CT 06156 | $220K |
| MULTIPLAN, INC. EIN 13-3068979 N/A | Plan Administrator; Other services; Claims processing Service code 12 | 115 5TH AVE 7 NEW YORK, NY 10003 | $23K |
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 | 1,621 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,621 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 1,621 | $681K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 1,621 | $681K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 1,621 | $681K |
| Stop-loss / reinsurancereinsurance | GREAT MIDWEST INSURANCE COMPANY | 1,300 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,621 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.