| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE HEALTHCARE STRATEGIES LLC3 Filed as: CORPORATE HEALTHCARE STRATEGIES | 280 GRANITE RUN DRIVE SUITE 250 LANCASTER, PA 17601 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $42K | — | $42K | 5.39% |
| CORPORATE HEALTHCARE STRATEGIES LLC Filed as: CORPORATE HEALTHCARE STRATEGIES | 280 GRANITE RUN DRIVE SUITE 250 LANCASTER, PA 17601 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $23K | — | $23K | 5.39% |
| CORPORATE HEALTHCARE STRATEGIES LLC3 Filed as: CORPORATE HEALTHCARE STRATEGIES | 280 GRANITE RUN DRIVE SUITE 250 LANCASTER, PA 17601 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 5.36% |
| CORPORATE HEALTHCARE STRATEGIES LLC3 Filed as: CORPORATE HEALTHCARE STRATEGIES | 280 GRANITE RUN DRIVE SUITE 250 LANCASTER, PA 17601 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $576 | — | $576 | 15.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK, INC. EIN 23-1294723 NONE | Claims processing Service code 12 | — | $1.5M |
| CONRAD M. SIEGEL, INC. EIN 23-1669823 NONE | Actuarial Service code 11 | — | $174K |
| UNITED CONCORDIA COMPANIES, INC. EIN 25-1687586 NONE | Claims processing Service code 12 | — | $123K |
| CORE SOURCE NONE | Claims processing Service code 12 | 400 FIELD DR. LAKE FOREST, IL 60045 | $46K |
| KPMG, LLP EIN 13-5565207 NONE | Accounting (including auditing) Service code 10 | — | $32K |
| STOUDT ADVISORS NONE | Other fees; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 280 GRANITE RUN DRIVE, SUITE 250 LANCASTER, PA 17601 | $25K |
| TIPTON COMMUNICATIONS NONE | Other services Service code 49 | 323 E. MAIN STREET NEWARK, DE 19711 | $7K |
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 | 3,304 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 229 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,533 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 3,119 | $773K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 3,218 | $426K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,748 | $549K |
| Other(3 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 3,281 | $803K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,281 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.