| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS CO | 899 CASSATT ROAD, SUITE 200 BERWYN, PA 19312 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7K | $0 | $7K | 15.04% |
| NORTH AMERICAN BENEFITS COMPANY3 Filed as: NORTH AMERICAN BENEFITS CO | 20 VALLEY STREAM PARKWAY, SUITE 310 MALVERN, PA 19312 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $2K | $2K | 4.00% |
| NORTH AMERICAN BENEFITS COMPANY3 | 20 VALLEY STREAM PKWY, STE 310 MALVERN, PA 19355 | STANDARD INSURANCE COMPANY | $0 | $4K | $4K | 9.00% |
| KISTLER TIFFANY BENEFITS3 | GENERAL AGENCY LLC 700 E GATE DRIVE MOUNT LAUREL, NJ 080543803 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $1K | $3K | 7.49% |
| ENROLLEASE3 Filed as: ONEDIGITAL PREMIER SERVICES LLC | 400 BERWYN PARK SUITE 200 BERWYN, PA 193121190 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $303 | $2K | 5.99% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS CO | 400 BERWYN PARK SUITE 200 BERWYN, PA 193121190 | ONEAMERICA | $1K | $595 | $2K | 17.00% |
| NORTH AMERICAN BENEFITS COMPANY5 | 20 VALLEY STREAM PARKWAY, SUITE 310 MALVERN, PA 19312 | ONEAMERICA | $0 | $1K | $1K | 8.50% |
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 | 117 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | INDEPENDENCE BLUE CROSS | 95 | $946K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 144 | $41K |
| Vision | INDEPENDENCE BLUE CROSS | 95 | $946K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 196 | $47K |
| Short-term disability(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 104 | $56K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 196 | $47K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 196 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 196 | — |
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.