| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CREATIVE BENEFITS, INC.3 Filed as: CREATIVE BENEFITS INC | 3809 WEST CHESTER PIKE STE 190 NEWTOWN SQUARE, PA 19073 | UNION SECURITY INSURANCE COMPANY | $8K | $0 | $8K | 7.86% |
| TOMPKINS INSURANCE AGENCIES3 Filed as: TOMPKINS INSURANCE | 1240 BROADCASTING ROAD PO BOX 6707 WYOMISSING, PA 19610 | DOMINION DENTAL SERVICES, INC | $0 | $9K | $9K | 10.13% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: TOMPKINS INSUARNCE AGENCIES INC | P.O. BOX 6707 WYOMISSING, PA 19610 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | $0 | $4K | 8.09% |
| TOMPKINS INSURANCE AGENCIES3 Filed as: TOMPKINS INSURANCE AGENCIES, INC | 90 MAIN STREET BATAVIA, NY 140202109 | VISION SERVICE PLAN | $1K | $0 | $1K | 5.56% |
| NANCY AMICON3 | 301 DEERHAVEN WAY GLENMOORE, PA 19343 | AFLAC | $298 | $66 | $364 | 7.99% |
| CONLON AND ASSOCIATES LLC3 Filed as: CONLON AND ASSOCIATES, LLC | 653 SOUTH GULPH ROAD KING OF PRUSSIA, PA 19406 | AFLAC | $190 | $26 | $216 | 4.74% |
| HOOK ENTERPRISES LLC3 Filed as: HOOK ENTERPRISES, LLC | 5 GREAT VALLEY PARKWAY, SUITE 100 MALVERN, PA 19355 | AFLAC | $116 | $26 | $142 | 3.12% |
| MATTHEW G BERGER3 Filed as: MATTHEW G. BERGER | 22 SUNNYRIDGE RD PHILADELPHIA, PA 19125 | AFLAC | $97 | $37 | $134 | 2.94% |
| WENDY E HOOK3 Filed as: WENDY E HOOK HIGGINS | 5 GREAT VALLEY PARKWAY, SUITE 100 MALVERN, PA 19355 | AFLAC | $33 | $11 | $44 | 0.97% |
| PHIL W HARRELL3 | 3257 7 LKS W WEST END, NC 27376 | AFLAC | $8 | $0 | $8 | 0.18% |
| STARLETT JACKSON3 Filed as: STARLETT B JACKSON | 4908 GRACELAND COURT HOPE MILLS, NC 28348 | AFLAC | $7 | $0 | $7 | 0.15% |
| SUE A STEVENS3 | 1229 SUGGS DR FAYETTEVILLE, NC 28306 | AFLAC | $4 | $0 | $4 | 0.09% |
| JAMES R HILL JR3 Filed as: JAMES R. HILL, JR | 7021 MARSEILLES COURT SUMMERFIELD, NC 27358 | AFLAC | $1 | $0 | $1 | 0.02% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ACE AMERICAN INSURANCE COMPANY | 192 | $313K |
| Dental(2 contracts, 2 carriers) | DOMINION DENTAL SERVICES, INC | 213 | $143K |
| Vision | VISION SERVICE PLAN | 189 | $20K |
| Life insurance(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 244 | $158K |
| Short-term disability(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 244 | $158K |
| Long-term disability(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 244 | $158K |
| Prescription drug | ACE AMERICAN INSURANCE COMPANY | 192 | $313K |
| Stop-loss / reinsurancereinsurance | ACE AMERICAN INSURANCE COMPANY | 192 | $313K |
| Other(3 contracts, 3 carriers) | UNION SECURITY INSURANCE COMPANY | 244 | $163K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 244 | — |
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.