| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA, INC. | 26 CENTURY BLVD 4TH FLR S NASHVILLE, TN 37214 | COMMUNITY INSURANCE COMPANY | $26K | — | $26K | 2.02% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA, INC. | 11 HIGHVIEW DR RADNOR, PA 19087 | COMMUNITY INSURANCE COMPANY | $7K | — | $7K | 0.56% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA, INC. | 26B CENTURY BOULEVARD, 4TH FLOOR NASHVILLE, TN 37214 | DELTA DENTAL OF PENNSYLVANIA | $6K | — | $6K | 7.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA, INC. | WILLIS GROUP ACCOUNTING CENTER 26B CENTURY BOULEVARD, 4TH FLOOR NASHVILLE, TN 37214 | HARTFORD LIFE AND ACCIDENT | $8K | — | $8K | 13.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SVCS OF CA, INC. | PO BOX 101162 PASADENA, CA 911891162 | HARTFORD LIFE AND ACCIDENT | — | $1K | $1K | 1.89% |
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 | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 242 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 113 | $1.3M |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 181 | $89K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 242 | $64K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 242 | $64K |
| Other | HARTFORD LIFE AND ACCIDENT | 242 | $64K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 242 | — |
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.