| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LAMOTTE, NICHOLAS3 | 795 E LANCASTER AVE SUITE 210 VILLANOVA, PA 19085 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $13K | $56K | $70K | 3.48% |
| PENTRA LLC3 | 795 E LANCASTER AVE SUITE 210 VILLANOVA, PA 19085 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $0 | $3K | $3K | 0.16% |
| GORDON W ST JOHN3 Filed as: GORDON W STJOHN | 795 E LANCASTER AVE STE 210 VILLANOVA, PA 19085 | KAISER FOUNDATION HEALTH PLAN INC | $9K | $0 | $9K | 3.25% |
| PENTRA LLC3 | 795 E LANCASTER AVE STE 210 VILLANOVA, PA 19085 | SUN LIFE ASSURANCE COMPANY OF CANADA | $9K | $0 | $9K | 8.87% |
| GREG LAU3 | P.O. BOX 508 KULA, HI 96790 | HAWAII MEDICAL ASSURANCE ASSOCIATION | $2K | $0 | $2K | 2.98% |
| PENTRA LLC3 | 795 E LANCASTER AVE 2 VILLANOVA CTR # 210 VILLANOVA, PA 19085 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | $0 | $7K | 20.00% |
| PENTRA LLC3 Filed as: PENTRA, LLC | 795 EAST LANCASTER AVENUE SUITE 210 VILLANOVA, PA 19085 | TRANSAMERICA LIFE INSURANCE COMPANY | $5K | $0 | $5K | 25.35% |
| RONALD M KLEIMAN3 | 4522 RFD LONG GROVE, IL 60047 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.19% |
| RONALD M KLEIMAN3 | 4522 RFD LONG GROVE, IL 60047 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 7.82% |
| PENTRA LLC3 Filed as: PENTRA, LLC | 795 EAST LANCASTER AVENUE SUITE 210 VILLANOVA, PA 19085 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 6.50% |
| CUSTOM BENEFIT PROGRAMS INC3 | 897 12 STREET HAMMONTON, NJ 08037 | TRANSAMERICA LIFE INSURANCE COMPANY | $473 | $0 | $473 | 2.53% |
| CUSTOM BENEFIT PROGRAMS INC3 | 897 12 STREET HAMMONTON, NJ 08037 | TRANSAMERICA LIFE INSURANCE COMPANY | -$18 | $0 | -$18 | -0.10% |
| PENTRA LLC3 Filed as: PENTRA | 795 E LANCASTER AVE #210 VILLANOVA, PA 19085 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | $0 | $6K | 35.21% |
| RONALD KLEIMAN3 | 4522 RFD LONG GROVE, IL 60047 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $672 | $0 | $672 | 3.82% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $475 | $475 | 2.70% |
| CUSTOM BENEFITS PROGRAMS3 Filed as: CUSTOM BENEFITS PROG INC | 897 12TH ST 1 HAMMONTON, NJ 08037 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $79 | $0 | $79 | 0.45% |
| PENTRA LLC3 Filed as: PENTRA | 795 E LANCASTER AVE #210 VILLANOVA, PA 19085 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | $0 | $5K | 33.05% |
| RONALD KLEIMAN3 | 4522 RFD LONG GROVE, IL 60047 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $665 | $0 | $665 | 4.71% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $328 | $328 | 2.32% |
| CUSTOM BENEFITS PROGRAMS3 Filed as: CUSTOM BENEFITS PROG INC | 897 12TH ST 1 HAMMONTON, NJ 08037 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $87 | $0 | $87 | 0.62% |
| BENEFITVISION3 Filed as: BENEFITVISION INC | 99 WOOD AVENUE SUITE 501 ISELIN, NJ 08830 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $574 | $0 | $574 | 7.50% |
| PENTRA LLC3 | TWO VILLANOVA CTR 795 E LANCASTER AVENUE SUITE 210 VILLANOVA, PA 19085 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $574 | $0 | $574 | 7.50% |
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 | 260 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 262 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(8 contracts, 6 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 237 | $2.4M |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 237 | $2.1M |
| Vision(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 237 | $2.1M |
| Life insurance(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,214 | $191K |
| Short-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,214 | $116K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,214 | $97K |
| Prescription drug | HAWAII MEDICAL ASSURANCE ASSOCIATION | 11 | $75K |
| Other(7 contracts, 5 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 2,214 | $2.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,214 | — |
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.