| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UNIVEST INSURANCE INC3 | 521 W MAIN STREET LANSDALE, PA 19446 | UNION SECURITY INSURANCE COMPANY | $0 | $2K | $2K | 0.70% |
| UNIVEST INSURANCE INC3 | 521 W MAIN ST LANSDALE, PA 19446 | UNUM LIFE INSURANCE CO. OF AMERICA | $15K | — | $15K | 9.00% |
| UNIVEST INSURANCE INC3 | 521 W MAIN ST LANSDALE, PA 19446 | UNUM LIFE INSURANCE CO. OF AMERICA | $17K | — | $17K | 15.00% |
| UNIVEST INSURANCE INC3 | 521 W MAIN STREET LANSDALE, PA 19446 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 9.85% |
| UNIVEST INSURANCE INC3 Filed as: UNIVEST INSURANCE, INC | 6339 BEVERLY HILLS ROAD COOPERSBURG, PA 18036 | EYEMED VISION CARE | $5K | — | $5K | 16.22% |
| UNIVEST INSURANCE INC3 Filed as: UNIVEST INSURANCE COMPANY | PO BOX 64197 SOUDERTON, PA 18964 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $155 | $2K | 31.32% |
| MAVEN BENEFITS PARTNERS3 | 366 ARBOR CIR MEDIA, PA 19063 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $78 | — | $78 | 1.18% |
| UNIVEST INSURANCE INC3 Filed as: UNIVEST INSURANCE INC. | PO BOX 64197 SOUDERTON, PA 18964 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $245 | $50 | $295 | 6.29% |
| MAVEN BENEFITS PARTNERS3 | 366 ARBOR CIRCLE MEDIA, PA 19063 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $100 | — | $100 | 2.13% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HM LIFE INSURANCE COMPANY NONE | Insurance services Service code 23 | FIFTH AVENUE PLACE 120 FIFTH AVENUE PITTSBURGH, PA 15222 | $941K |
| AETNA NONE | Claims processing Service code 12 | 980 JOLLY ROAD U11N BLUE BELL, PA 19422 | $333K |
| L.R. WEBBER ASSOCIATES EIN 25-1301205 NONE | Insurance agents and brokers Service code 22 | — | $62K |
| THE BENECON GROUP, INC. EIN 23-1315351 NONE | Insurance agents and brokers Service code 22 | — | $62K |
| PBASC EIN 26-3958502 NONE | Plan Administrator Service code 14 | — | $13K |
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 | 780 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 791 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 86 | $149K |
| Dental | UNION SECURITY INSURANCE COMPANY | 495 | $303K |
| Vision | EYEMED VISION CARE | 560 | $30K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE CO. OF AMERICA | 780 | $280K |
| Long-term disability | UNUM LIFE INSURANCE CO. OF AMERICA | 780 | $166K |
| Prescription drug | WELLNET HEALTHCARE | 1,361 | $995K |
| Other(4 contracts, 3 carriers) | UNUM LIFE INSURANCE CO. OF AMERICA | 780 | $228K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,361 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.