| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRIBEN INSURANCE SOLUTIONS INC | 200 W BALTIMORE AVE MEDIA, PA 19063 | AETNA LIFE INSURANCE CO | $52K | — | $52K | 5.99% |
| TRIBEN INSURANCE SOLUTIONS INC | 200 W BALTIMORE AVE MEDIA, PA 19063 | AETNA LIFE INSURANCE CO | — | $42K | $42K | 4.92% |
| TRIBEN INSURANCE SOLUTIONS INC | 24 E SECOND STREET FLOOR 1 MEDIA, PA 190632906 | RELIASTAR LIFE INSURANCE COMPANY | $39K | — | $39K | 41.46% |
| PATRICK J DOHERTY | 1620 N WASHINGTON AVE SCRANTON, PA 185091957 | RELIASTAR LIFE INSURANCE COMPANY | $24K | — | $24K | 24.98% |
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 | 3,023 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 37 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,060 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HOSPITAL SERVICE ASSOCIATION OF NEPA | 2,644 | $9.5M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 2,823 | $717K |
| Vision | VISION SERVICE PLAN | 1,480 | $127K |
| Life insurance | AETNA LIFE INSURANCE CO | 1,833 | $864K |
| Short-term disability | AETNA LIFE INSURANCE CO | 1,833 | $864K |
| Long-term disability | AETNA LIFE INSURANCE CO | 1,833 | $864K |
| Other | AETNA LIFE INSURANCE CO | 1,833 | $864K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,823 | — |
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.