| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NORTHERN AMERICAN BENEFITS COMPANY5 | 20 VALLEY STREAM PARKWAY, SUITE 310 MALVERN, PA 19355 | MADISON NATIONAL LIFE INSURANCE COMPANY | — | $5K | $5K | 11.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WILLIG, WILLIAMS AND DAVIDSON EIN 23-2416488 NONE | Legal; Direct payment from the plan Service code 29 | — | $114K |
| PATH ADMINISTRATORS EIN 46-1226464 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $111K |
| HEALTHCARE STRATEGIES, INC. EIN 23-2848954 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $45K |
| BREIER GROUP CONSULTING NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $41K |
| BENECARD EIN 22-2998772 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $32K |
| S & S HEALTHCARE STRATEGIES EIN 31-1418743 NONE | Direct payment from the plan; Insurance services; Other services Service code 23 | — | $32K |
| MERITAIN HEALTH NONE | Direct payment from the plan; Claims processing Service code 12 | — | $30K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $16K |
| CONRAD SIEGEL EIN 23-1669823 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $8K |
| US BANK EIN 31-0841368 NONE | Investment management; Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 28 | — | $8K |
| INETICO, LLC D/B/A VALENZ CARE EIN 81-5149270 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan 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 | 187 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 97 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 284 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | MADISON NATIONAL LIFE INSURANCE COMPANY | 371 | $41K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE CO. | 177 | $137K |
| Other | MADISON NATIONAL LIFE INSURANCE COMPANY | 371 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 371 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.