| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DELAWARE VALLEY HEALTH CARE3 | 2980 SOUTHHAMPTON ROAD PHILADELPHIA, PA 19154 | DELTA DENTAL OF PENNSYLVANIA | $1K | — | $1K | 0.39% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| D H EVANS TPA LLC DBA PATH ADMIN EIN 46-1226464 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $126K |
| BENECARD EIN 22-2998772 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $28K |
| DELTA DENTAL EIN 23-1667011 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $21K |
| PFM ADVISORS EIN 23-3087064 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $16K |
| WAGGONER FRUTIGER & DAUB LLP EIN 23-1583249 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $14K |
| CHARLES W JOHNSTON EIN 23-2077724 NONE | Legal; Direct payment from the plan Service code 29 | — | $12K |
| COWDEN ASSOCIATES NONE | Actuarial; Direct payment from the plan Service code 11 | FOUR GATEWAY CENTER, SUITE 605 PITTSBURGH, PA 15222 | $9K |
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 | 327 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 122 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 449 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF PENNSYLVANIA | 840 | $336K |
| Vision | NATIONAL VISION ADMINISTRATORS | 0 | $17K |
| Stop-loss / reinsurancereinsurance | STANDARD LIFE & ACCIDENT INSURANCE CO | 449 | $350K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 840 | — |
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.