| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SPECIAL RISK INSURANCE SERVICES INC3 | PO BOX 1108 VOORHEES, NJ 080437108 | METROPOLITAN LIFE INSURANCE COMPANY | $86K | $2K | $88K | 13.43% |
| SPECIAL RISK INSURANCE SERVICES INC3 | P.O. BOX 1108 VOORHEES, NJ 080437108 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $49K | $10K | $59K | 12.00% |
| SPECIAL RISK INSURANCE SERVICES INC3 | P.O. BOX 1108 VOORHEES, NJ 080437108 | STANDARD INSURANCE COMPANY | $13K | — | $13K | 9.98% |
| CENTURION BENEFITS, LLC3 | 610 W GERMANTOWN PIKE., STE 350 PLYMOUTH MEETING, PA 19462 | HEARTLAND | $0 | $0 | $0 | 0.00% |
| CENTURION BENEFITS, LLC3 | 610 W GERMANTOWN PIKE., STE 350 PLYMOUTH MEETING, PA 19462 | UNITED CONCORDIA INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK, INC. EIN 23-1294723 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $1.0M |
| CENTURION BENEFITS, LLC EIN 27-0867718 NONE | Insurance agents and brokers Service code 22 | — | $90K |
| UNITED CONCORDIA COMPANIES, INC EIN 25-1687586 CONTRACT ADMINISTRATOR | Claims processing Service code 12 | — | $33K |
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 | 1,297 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 145 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,442 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 187 | $69K |
| Vision(2 contracts, 2 carriers) | HEARTLAND | 693 | $118K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 3,975 | $1.2M |
| Short-term disability | INSURANCE ADMINISTRATOR OF AMERICA, INC. | 790 | $20K |
| Long-term disability | STANDARD INSURANCE COMPANY | 599 | $134K |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 3,975 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,975 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.