| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST, INC | ONE WORLD FINANCIAL CENTER 200 LIBERTY STREET NEW YORK, NY 10281 | HIGHMARK INC. | $93K | — | $93K | 2.08% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 Filed as: DAVEVIC BENEFIT CONSULTANTS, INC | 902 S CENTER ST #976 GROVE CITY, PA 16127 | HIGHMARK INC. | $39K | — | $39K | 0.88% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST INC. | 5 RADNOR CORP CENTER 200 N WARNER RD STE 300 KING OF PRUSSIA, PA 19406 | PRINCIPAL LIFE INSURANCE COMPANY | $33K | — | $33K | 3.33% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | $29K | — | $29K | 2.88% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 Filed as: DAVEVIC BENEFIT CONSULTANTS | PO BOX 976 GROVE CITY, PA 16127 | PRINCIPAL LIFE INSURANCE COMPANY | $11K | $9K | $20K | 1.94% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | PRINCIPAL LIFE INSURANCE COMPANY | — | $5K | $5K | 0.47% |
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 | 475 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 9 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 493 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK INC. | 563 | $4.5M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 885 | $1.0M |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 885 | $1.0M |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 885 | $1.0M |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 885 | $1.0M |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 885 | $1.0M |
| Prescription drug | HIGHMARK INC. | 563 | $4.5M |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 885 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 885 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.