| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FABRICANT & FABRICANT3 | 1251 OLD NORTHERN BLVD ROSLYN, NY 11576 | SUN LIFE ASSURANCE COMPANY OF CANADA | $9K | — | $9K | 3.50% |
| ALAN KIFFERSTEIN3 | 570 LEXINGTON AVE NEW YORK, NY 10022 | SUN LIFE ASSURANCE COMPANY OF CANADA | $9K | — | $9K | 3.50% |
| FABRICANT & FABRICANT3 | 1251 OLD NORTHERN BLVD ROSLYN, NY 11576 | HARTFORD LIFE AND ACCICENT | $6K | — | $6K | 4.00% |
| ALAN KIFFERSTEIN3 | 60 EAST 42ND ST, STE 1800 NEW YORK, NY 10165 | HARTFORD LIFE AND ACCICENT | — | $6K | $6K | 4.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHAMERICA OF PENNSYLVANIA INC EIN 25-1264318 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.9M |
| BASYS, INC. EIN 52-1796473 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $253K |
| MULTIPLAN INC EIN 13-3068979 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $242K |
| DELTA DENTAL OF PENNSYLVANIA EIN 23-1667011 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $232K |
| GENERAL PRESCRIPTION PROGRAMS, INC. EIN 13-3271051 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $229K |
| STEVENS & LEE PC EIN 23-1886296 NONE | Legal; Direct payment from the plan Service code 29 | — | $207K |
| CONSILIUM LLC EIN 46-1828993 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $175K |
| WILLIG, WILLIAMS & DAVIDSON EIN 23-2416488 NONE | Legal; Direct payment from the plan Service code 29 | — | $156K |
| MORGAN, LEWIS & BOCKIUS, LLP EIN 23-0891050 NONE | Legal; Direct payment from the plan Service code 29 | — | $144K |
| BEYER-BARBER COMPANY EIN 23-2503024 NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $142K |
| CHERIE MIERZEJEWSKI EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $125K |
| JOSEPH SAMOLEWICZ EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $124K |
| DAPHNE ROSSI EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $110K |
| BELINDA STOUDT EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $109K |
| SEI INVESTMENTS EIN 23-1707341 NONE | Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Investment management Service code 28 | — | $107K |
| JENNA SMITH EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $105K |
| ARISTEA MALDANADO EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $105K |
| TRICIA MOODY EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $103K |
| APRIL MAISONET EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $101K |
| CAROL ZIMMERMAN EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $101K |
| JOANN VOGEL EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $98K |
| MARTIN CULLEN EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $98K |
| MARICA MOYER EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $97K |
| GARY NOLL EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $95K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $93K |
| LOU ANN DELONG EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $91K |
| CYNTHIA BUTINCU EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $90K |
| DEANN BRANDT EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $90K |
| JAMES STRICKER EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $90K |
| WALTER SCOTT & PARTNERS LTD EIN 98-0465834 NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $90K |
| STACIE MARKS EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $83K |
| KEVIN MCTISH EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| SUSAN BRICKER EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| WEIDENHAMMER SYSTEMS CORP EIN 23-2054990 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $77K |
| JOY DREXEL EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $74K |
| RUSTY KEMP EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| JUDITH STRICKER EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $67K |
| ROBERT GENSLINGER EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $67K |
| NINA KISTLER EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $66K |
| CHERYL BURKE EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $62K |
| LORI KEMMERER EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $60K |
| DEBRA PFENNIG EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $57K |
| CHRISTINA RIVERA EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $55K |
| CHRISTINA BYRNE EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $54K |
| WESTFIELD CAPITAL MANAGEMENT CO, LP EIN 80-0175963 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $53K |
| WILLIAM BLAIR INVESTMENT MGT LLC EIN 47-2614791 NONE | Investment management fees paid directly by plan; Soft dollars commissions; Investment management Service code 28 | — | $53K |
| RICHARD PASTUSZEK EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $49K |
| KELLY SNYDER EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $49K |
| LISA M CYLCEWSKI EIN 23-6262789 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $48K |
| LYNN ROTHENBERGER EIN 23-6262789 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $48K |
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 | 5,565 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 833 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 6,398 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 5,170 | $408K |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 5,170 | $408K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,170 | — |
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.