No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CAPITAL BLUECROSS EIN 59-1031071 NONE | Claims processing; Direct payment from the plan Service code 12 | 2500 ELMERTON AVE HARRISBURG, PA 17177 | $126K |
| INSULATORS LOCAL 23 EIN 23-1582722 LOCAL UNION | Direct payment from the plan; Plan Administrator Service code 14 | 8926 JONESTOWN ROAD GRANTVILLE, PA 170288654 | $90K |
| HAWLEY CONSULTING GROUP NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | 4284 WILIAM FLYNN HIGHWAY, STE 302 ALLISON PARK, PA 15101 | $55K |
| BENECARD SERVICES EIN 22-2998772 NONE | Direct payment from the plan; Claims processing Service code 12 | 1200 ROUTE 46 WEST CLIFTON, NJ 07013 | $43K |
| WILLIG WILLIAMS AND DAVIDSON NONE | Direct payment from the plan; Legal Service code 29 | 1845 WALNUT STREET PHILADELPHIA, PA 15222 | $27K |
| JBM COMPUTER CONSULTANTS NONE | Other services; Direct payment from the plan Service code 49 | 20 N AMERICA DRIVE BUFFALO, NY 14224 | $12K |
| DELTA DENTAL OF PENNSYLVANIA NONE | Direct payment from the plan; Claims processing Service code 12 | ONE DELTA DRIVE MECHANICSBURG, PA 17055 | $9K |
| GRAYSTONE INVESTMENT GROUP NONE | Direct payment from the plan Service code 50 | 3001 N ROCKY POINT DR E 200 TAMPA, FL 33607 | $7K |
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 | 145 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 19 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 162 | $194K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 162 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.