| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA, INC. | 100 MATSONFORD RD FIVE RADNOR CORP. CTR, STE 200 RADNOR, PA 19087 | INDEPENDENCE BLUE CROSS - PERSONAL CHOICE | $106K | — | $106K | 4.53% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA, INC. | 100 MATSONFORD RD FIVE CORP. CTR, STE 200 RADNOR, PA 19087 | KEYSTONE | $15K | — | $15K | 4.12% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC. | 100 MATSONFORD RD, STE 200 RADNOR, PA 19087 | UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY | $7K | — | $7K | 4.30% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC. | 100 MATSONFORD RD BLDG 5, STE 200 RADNOR, PA 19087 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 6.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC. | 100 MATSONFORD RD BLDG 5, STE 200 RADNOR, PA 19087 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 6.91% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC. | 100 MATSONFORD RD, STE 200 BLDG 5 RADNOR, PA 190874582 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $400 | $4K | 11.55% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC. | 100 MATSONFORD RD, STE 200 RADNOR, PA 19087 | VISION BENEFITS OF AMERICA | $980 | — | $980 | 5.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA, INC. | 100 MATSONFORD RD FIVE RADNOR CORP. CTR, STE 200 RADNOR, PA 19087 | INDEPENDENCE BLUE CROSS | $282 | — | $282 | 13.21% |
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 | 238 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 7 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 258 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | INDEPENDENCE BLUE CROSS - PERSONAL CHOICE | 360 | $2.7M |
| Dental | UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY | 420 | $160K |
| Vision | VISION BENEFITS OF AMERICA | 214 | $20K |
| Life insurance | STANDARD INSURANCE COMPANY | 311 | $82K |
| Long-term disability | STANDARD INSURANCE COMPANY | 236 | $61K |
| Prescription drug | INDEPENDENCE BLUE CROSS - PERSONAL CHOICE | 360 | $2.3M |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 311 | $118K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 420 | — |
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.