No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $2.0M |
| GALLAGHER (ARTHUR J. GALLAGHER) NONE | Direct payment from the plan; Consulting (general) Service code 16 | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | $175K |
| MORGAN, LEWIS & BOCKIUS LLP EIN 23-0891050 NONE | Legal; Direct payment from the plan Service code 29 | — | $116K |
| EXPRESS SCRIPTS EIN 22-3461740 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $113K |
| INDIA MONTANEZ EIN 23-2627429 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $111K |
| TINA GLENN EIN 23-2627429 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $90K |
| INNOVATIVE SOFTWARE SOLUTIONS INC EIN 23-2182079 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $89K |
| LAVERENE DEVALIA EIN 23-2627429 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $68K |
| ALFREDA GHILYARD EIN 23-2627429 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $67K |
| NATESHE WILLIAMS EIN 23-2627429 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $64K |
| PAMELA A SMITH-STRITE EIN 23-2627429 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $54K |
| DOMINIQUE WATERS EIN 23-2627429 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $54K |
| ERIC BROOKS EIN 23-2627429 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $51K |
| WANDA WOODARD EIN 23-2627429 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $47K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $47K |
| FREEDMAN & LORRY PC EIN 23-2158375 NONE | Legal; Direct payment from the plan Service code 29 | — | $36K |
| BENEFIT3 INC NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 2865 SOUTH EAGLE RD, 373 NEWTOWN, PA 18940 | $33K |
| GLENDELLE CAMERON-DIXON NONE | Direct payment from the plan; Other services Service code 49 | 12 CARDENTI CT NEWARK, DE 19702 | $32K |
| EVELYN ALAMEDA EIN 23-2627429 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $31K |
| WORK & WELL INC EIN 22-3116423 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $28K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $25K |
| WELLS FARGO EIN 41-0449260 NONE | Custodial (securities); Account maintenance fees; Direct payment from the plan Service code 19 | — | $16K |
| CYNTHIA JONES-BROOKS NONE | Other services; Direct payment from the plan Service code 49 | 5433 N LAWRENCE ST, 1ST FL PHILADELPHIA, PA 19120 | $14K |
| O'DONOGHUE & O'DONOGHUE, LLP EIN 53-0120528 NONE | Legal; Direct payment from the plan Service code 29 | — | $5K |
| PAYCHEX, INC. EIN 16-1124166 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $5K |
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 | 2,339 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,519 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,858 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | DOMINION DENTAL SERVICES, INC. | 2,590 | $503K |
| Stop-loss / reinsurancereinsurance | AETNA | 2,271 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,590 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.