| 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 | 13.62% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHCARE STRATEGIES INC EIN 23-2848954 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $178K |
| MERITAIN HEALTH EIN 16-1264154 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $57K |
| BREIER GROUP CONSULTING NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $49K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $37K |
| WILLIG WILLIAMS & DAVIDSON EIN 23-2416488 NONE | Legal; Direct payment from the plan Service code 29 | — | $35K |
| DOMENIC A BELLISARIO | Legal; Direct payment from the plan Service code 29 | 310 GRANT STREET, STE 1302 PITTSBURGH, PA 15219 | $10K |
| CONRAD SIEGEL EIN 23-1669823 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $10K |
| US BANK NA EIN 31-0841368 | Investment management; Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 28 | — | $8K |
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. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | MADISON NATIONAL LIFE INSURANCE COMPANY | 0 | $36K |
| Other | MADISON NATIONAL LIFE INSURANCE COMPANY | 0 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 104 | — |
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."
No prospect flags tripped on this filing.