| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE TRINICORE COMPANY3 | 985 OLD EAGLE RD, STE 519 WAYNE, PA 19087 | INDEPENDENCE BLUE CROSS | $123K | — | $123K | 0.58% |
| THE TRINICORE COMPANY3 | 985 OLD EAGLE RD WAYNE, PA 19087 | INDEPENDENCE BLUE CROSS | $32K | — | $32K | 0.81% |
| THE TRINICORE COMPANY3 | 985 OLD EAGLE RD, STE 519 WAYNE, PA 19087 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $70K | — | $70K | 7.40% |
| THE TRINICORE COMPANY3 | 985 OLD EAGLE RD, STE 519 WAYNE, PA 19087 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $61K | — | $61K | 7.43% |
| THE TRINICORE COMPANY3 | 985 OLD EAGLE RD, STE 519 WAYNE, PA 19087 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $57K | — | $57K | 7.46% |
| THE TRINICORE COMPANY3 | 985 OLD EAGLE RD WAYNE, PA 19087 | HM LIFE INSURANCE COMPANY | $64K | — | $64K | 15.00% |
| VARIOUS - SEE ATTACHED3 | — | CONTINENTAL AMERICAN INSURANCE COMPANY | $58K | — | $58K | 18.64% |
| THE TRINICORE COMPANY3 | 985 OLD EAGLE RD, STE 519 WAYNE, PA 19087 | UNITED CONCORDIA COMPANIES, INC. | $21K | — | $21K | 24.66% |
| THE TRINICORE COMPANY3 | 985 OLD EAGLE RD, STE 519 WAYNE, PA 19087 | FOUR EVER LIFE INS CO. | $1K | — | $1K | 15.00% |
| AMERIHEALTH ADMINISTRATORS INC3 Filed as: INDEPENDENCE BLUE CROSS | 1901 MARKET STREET, 10TH FLOOR PHILADELPHIA, PA 19103 | FOUR EVER LIFE INS CO. | — | $279 | $279 | 4.00% |
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 | 2,741 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,741 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | INDEPENDENCE BLUE CROSS | 3,307 | $21.1M |
| Dental | UNITED CONCORDIA COMPANIES, INC. | 2,099 | $84K |
| Vision | INDEPENDENCE BLUE CROSS | 3,307 | $248K |
| Life insurance | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2,742 | $814K |
| Short-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2,741 | $944K |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 769 | $761K |
| Prescription drug | INDEPENDENCE BLUE CROSS | 3,307 | $4.0M |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 2,239 | $424K |
| Other(3 contracts, 2 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2,742 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,307 | — |
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.