| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET SAN DIEGO, CA 92101 | AETNA LIFE INSURANCE CO. | $5K | $0 | $5K | 5.24% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 1285 DRUMMERS LN STE 305 WAYNE, PA 19087 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 5.00% |
| ALLIANT INSURANCE SERVICES, INC.3 | 3424 PEACHTREE RD NE STE 1400 ATLANTA, GA 30326 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | $0 | $5K | 20.26% |
| NAVIGATION BENEFITS LLC3 | 117 FORREST AVE STE 214 NARBERTH, PA 19072 | BOSTON MUTUAL LIFE INSURANCE COMPANY | $729 | $0 | $729 | 4.60% |
| NICHOLAS FRANCIS CASTELLANO3 Filed as: NICHOLAS CASTELLANO | 116 PERCHERON DR SPRING CITY, PA 19475 | BOSTON MUTUAL LIFE INSURANCE COMPANY | $397 | $0 | $397 | 2.51% |
| PREMIER WORKSITE SOLUTIONS INC3 Filed as: PREMIER WORKSITE SOLUTIONS LLC | 700 KINDERKAMACK RD ORADELL, NJ 07649 | BOSTON MUTUAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 13.52% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1125 SANCTUARY PARKWAY ALPHARETTA, GA 30009 | BOSTON MUTUAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | 8.96% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 1285 DRUMMERS LN STE 305 WAYNE, PA 19087 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 12.00% |
| ALPHA BENEFITS GROUP INC3 Filed as: ALPHA BENEFITS GROUP INC. | 450 S GRAVERS RD 200 PLYMOUTH MEETING, PA 19462 | BOSTON MUTUAL LIFE INSURANCE COMPANY | $198 | $0 | $198 | 2.81% |
| PREMIER WORKSITE SOLUTIONS INC3 Filed as: PREMIER WORKSITE SOLUTIONS LLC | 700 KINDERKAMACK RD ORADELL, NJ 07649 | BOSTON MUTUAL LIFE INSURANCE COMPANY | $727 | $0 | $727 | 38.73% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 1125 SANCTUARY PARKWAY ALPHARETTA, GA 30009 | BOSTON MUTUAL LIFE INSURANCE COMPANY | $485 | $0 | $485 | 25.84% |
| NAVIGATION BENEFITS LLC3 | 117 FORREST AVENUE STE 214 NARBERTH, PA 19072 | BOSTON MUTUAL LIFE INSURANCE COMPANY | $89 | $0 | $89 | 8.52% |
| PREMIER WORKSITE SOLUTIONS INC3 Filed as: PREMIER WORKSITE SOLUTIONS LLC | 700 KINDERKAMACK RD ORADELL, NJ 07649 | BOSTON MUTUAL LIFE INSURANCE COMPANY | $12 | $0 | $12 | 3.54% |
| GENESIS ASSET PROTECTION INC3 Filed as: GENESIS ASSET PROTECTION INC. | 865 EASTON RD STE 310 WARRINGTON, PA 18976 | BOSTON MUTUAL LIFE INSURANCE COMPANY | $8 | $0 | $8 | 2.36% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA EIN 06-6033492 ADMIN | Contract Administrator Service code 13 | — | $157K |
| THE BENECON GROUP EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $39K |
| TRINITY ASSET MANAGEMENT BROKER | Insurance agents and brokers Service code 22 | 865 EASTON ROAD, SUITE 310 WARRINGTON, PA 18976 | $35K |
| CONNECTCARE 3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $17K |
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 | 412 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 415 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE CO. | 357 | $96K |
| Life insurance(6 contracts, 2 carriers) | BOSTON MUTUAL LIFE INSURANCE COMPANY | 412 | $53K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 263 | $84K |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE COMPANY | 281 | $792K |
| Other(5 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 412 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 412 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.