| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASHTON BENEFITS3 Filed as: ASHTON BENEFITS CORP | 910 SYLVAN AVE 1ST FLOOR ENGLEWOOD CLIFFS, NJ 07632 | HM LIFE INSURANCE COMPANY | $159K | — | $159K | 10.00% |
| ASHTON BENEFITS3 Filed as: ASHTON BENEFITS CORP | 910 SYLVAN AVE ENGLEWOOD CLIFFS, NJ 07632 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $57K | — | $57K | 8.21% |
| PROFESSIONAL GROUP MARKETING INC3 Filed as: PROFESSIONAL GROUP MARKETING | 50 BROADWAY HAWTHORNE, NY 10532 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $12K | $12K | 4.44% |
| ASHTON BENEFITS3 Filed as: ASHTON BENEFITS CORP | 600 SYLVAN AVE SUITE 301 ENGLEWOOD CLIFFS, NJ 07632 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 9.44% |
| PROFESSIONAL GROUP MARKETING INC3 Filed as: PROFESSIONAL GROUP MARKETING | 50 BROADWAY HAWTHORNE, NY 10532 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $4K | $4K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK INC. EIN 23-1294723 SERVICE PROVIDER | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Participant communication; Contract Administrator; Plan Administrator Service code 12 | — | $851K |
| ARMS INSURANCE GROUP AGENT | Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Contract Administrator; Plan Administrator; Claims processing; Insurance brokerage commissions and fees Service code 12 | 3000 LENT BLVD BETHEL PARK, PA 15102 | $112K |
| DELTA DENTAL OF PENNSYLVANIA EIN 23-1667011 DENTAL CLAIMS ASO | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Participant communication; Plan Administrator; Contract Administrator Service code 12 | — | $70K |
| TALL TREE ADMINISTRATORS | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Plan Administrator; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | — | $7K |
| CIGNA PPO NETWORK | Claims processing Service code 12 | — | $4K |
| CORECARE, INC. | Plan Administrator; Claims processing; Contract Administrator Service code 12 | — | $1K |
| EBS, INC. | Claims processing; Plan Administrator; Contract Administrator Service code 12 | — | $1K |
| AMERICAN HEALTH DATA INSTITUTE CONSULTING | Consulting (general) Service code 16 | 8330 ALLISON POINTE TRAIL INDIANAPOLIS, IN 46250 | $0 |
| ARMS INSURANCE GROUP, LLC INSURANCE AGENT | Insurance agents and brokers Service code 22 | 3000 LENTO BLVD BETHEL PARK, PA 15102 | $0 |
| ASSURANCE AGENCY LTD INSURANCE AGENT | Insurance agents and brokers Service code 22 | 1750 E. GOLF ROAD, 11TH FLOOR SCHAUMBURG, IL 60173 | $0 |
| HIGHMARK EIN 23-1294723 MEDICAL TPA | Plan Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Participant communication; Claims processing Service code 12 | — | $0 |
| RGI LLC CONSULTING | Consulting (general) Service code 16 | 8330 ALLISON POINTE TRAIL INDIANAPOLIS, IN 46250 | $0 |
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 | 1,508 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 58 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,566 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 41 | $281K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 1,826 | $151K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 6,349 | $700K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 487 | $273K |
| Long-term disability(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 487 | $361K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 41 | $281K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | HM LIFE INSURANCE COMPANY | 1,087 | $1.6M |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 6,349 | $980K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,349 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.