| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CBDI, INC.3 | 9 EVES DRIVE SUITE 150 MARLTON, NJ 08053 | INDEPENDENCE BLUE CROSS | $6K | $139K | $146K | 16.36% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION A MARSH & MCLENNAN AGY LLC CO | 2300 RENAISSANCE BLVD. KING OF PRUSSIA, PA 19406 | INDEPENDENCE BLUE CROSS | $0 | $44 | $44 | 0.00% |
| EXUDE BENEFITS GROUP INC3 | 2218 RACE STREET PHILADELPHIA, PA 19103 | HARTFORD LIFE AND ACCIDENT | $19K | $10K | $29K | 15.79% |
| CBDI, INC.3 | 9 EVES DRIVE, #150 MARLTON, NJ 08053 | UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY | $3K | $0 | $3K | 3.27% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION A MARSH & MCLENNAN AGENCY LLC | 2300 RENAISSANCE BOULEVARD KING OF PRUSSIA, PA 19406 | UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY | $329 | $0 | $329 | 0.33% |
| CBDI, INC.3 | 9 EVES DR #150 MARLTON, NJ 08053 | UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. | $1K | $0 | $1K | 3.53% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION, A MARSH MCLENNAN AGENCY, LLC | 2300 RENAISSANCE BOULEVARD KING OF PRUSSIA, PA 19406 | UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. | $121 | $0 | $121 | 0.37% |
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 | 458 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 467 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KEYSTONE | 369 | $3.7M |
| Dental(2 contracts, 2 carriers) | UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY | 394 | $134K |
| Vision | INDEPENDENCE BLUE CROSS | 134 | $890K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 458 | $185K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 458 | $185K |
| Prescription drug | INDEPENDENCE BLUE CROSS | 134 | $890K |
| Other | HARTFORD LIFE AND ACCIDENT | 458 | $185K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 458 | — |
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.