Filings through .
History & trajectory Charts need 2 or more years. This plan has 8 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingPremium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan has rich benefits or a bad rate.
Schedule A changed between filings. The plan moved between insured and self-funded, or contracts were added or removed. The plan is in a transition year.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Stop-loss | Stop-loss | |
Broker: Andus LLC Dba Andus Health Benefits VisionSTDOther | VisionSTDOther | |
Broker: Andus LLC LifeOther | LifeOther | |
Vision | Vision |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 4 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 116 | 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) | 116 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 116 | $152K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 113 | $22K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 116 | $152K |
| Stop-loss / reinsurancereinsurance | AVALON INSURANCE COMPANY | 94 | $191K |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 116 | $174K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 116 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Sun Life Assurance Company of Canada | |
Carrier: Sun Life Assurance Company of Canada | |
Carrier: Prudential Insurance Company of America |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE BENECON GROUP, LLC EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $38K |
| HEALTHNOW ADMIN | Claims processing Service code 12 | 512 TOWNSHIP LINE ROAD ONE VALLEY QUARE, STE 110 BLUE BELL, PA 19422 | $27K |
| C3 GROUP, LLC EIN 90-0541653 BROKER | Insurance agents and brokers Service code 22 | — | $19K |
| SUN LIFE ASSURANCE COMPANY OF CANAD EIN 38-1082080 ADMIN | Claims processing Service code 12 | — | $16K |
| ANDUS LLC DBA ANDUS HEALTH BENEFITS BROKER | Insurance agents and brokers Service code 22 | 441 E HECTOR STREET 4TH FLOOR CONSHOHOCKEN, PA 19428 | $6K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
2 contacts
8 filings · 2016 to 2025