| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ARTHUR B GOLDBERG3 | 1741 ACADEMY LANE HAVERTOWN, PA 19083 | AFLAC | $1K | $99 | $2K | 7.00% |
| MAIN LINE BENEFIT SOLUTIONS LLC3 Filed as: MAIN LINE BEBEFIT SOLUTIONS LLC | 1405 LARKSPUR LANE MALVERN, PA 19355 | AFLAC | $1K | $20 | $1K | 5.07% |
| BONNIE H DROBNES3 | 118 BEAMONT PLACE LOWER GWYNEDD, PA 19002 | AFLAC | $354 | $20 | $374 | 1.73% |
| CONLON AND ASSOCIATES LLC3 | PO BOX 402 BRIDGEPORT, PA 19405 | AFLAC | $179 | $0 | $179 | 0.83% |
| ERIC R MACDOUGALL3 Filed as: ERIC MACDOUGALL & ASS INC & OTHERS | 5904 MARGARETS WAY NEW HOPE, PA 18938 | AFLAC | $62 | $0 | $62 | 0.29% |
| DAVID HEALEY3 Filed as: DAVID S LAGNER | 5236 MAGNOLIA POND DRIVE SARASOTA, FL 34233 | AFLAC | $31 | $0 | $31 | 0.14% |
| THOMAS B DAVIS3 | 835 ROSEHILL DRIVE KING OF PRUSSIA, PA 19406 | AFLAC | $17 | $0 | $17 | 0.08% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PARKWAY WEST VEVA 16, SUITE 320 BLUE BELL, PA 19422 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $572 | $0 | $572 | 4.96% |
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 | 181 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 181 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF PENNSYLVANIA | 201 | $87K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 203 | $12K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 181 | $127K |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 181 | $127K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 181 | $105K |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 181 | $134K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 203 | — |
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.