| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CREATIVE BENEFITS, INC.3 Filed as: CREATIVE BENEFITS, INC | 3809 WESTCHESTER PIKE STE 190 NEWTOWN SQUARE, PA 19073 | HIGHMARK, INC | $135K | — | $135K | 3.27% |
| CREATIVE BENEFITS, INC.3 Filed as: CREATIVE BENEFITS, INC | 3809 WESTCHESTER PIKE STE 190 NEWTOWN SQUARE, PA 19073 | HARTFORD LIFE AND ACCIDENT | $10K | — | $10K | 10.00% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP, INC | 600 WASHINGTON AVE TOWSON, MD 21204 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 7.71% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CYNTHIA RUTKOWSKI EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $50K |
| PEOPLES SECURITY BANK NONE | Direct payment from the plan; Custodial (securities); Investment management fees paid directly by plan Service code 19 | 150 NORTH WASHINGTON AVE SCRANTON, PA 18503 | $44K |
| LYNN ANDREOLI EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $35K |
| CREATIVE BENEFITS, INC EIN 23-2245507 NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 3809 WEST CHESTER PIKE, STE 190 NEWTOWN SQUARE, PA 19073 | $32K |
| NORTHEAST ADVISERS, INC NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | 163 W LANCASTER AVE, FIRST FL PAOLI, PA 19301 | $6K |
| ODONOGHUE & ODONOGHUE EIN 53-0120528 NONE | Legal Service code 29 | 325 CHESTNUT STREET, SUITE 515 PHILADELPHIA, PA 19106 | $5K |
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 | 340 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 256 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 596 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | HIGHMARK, INC | 807 | $5.0M |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 503 | $27K |
| Vision | NATIONAL VISION ADMINISTRATORS, LLC | 807 | $0 |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 507 | $97K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 507 | $97K |
| Other | HARTFORD LIFE AND ACCIDENT | 507 | $97K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 807 | — |
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.