| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORESOURCE, INC.0 Filed as: CORESOURCE INC | 1280 NORTH PLUM STREET LANCASTER, PA 17601 | HCC LIFE INSURANCE COMPANY | — | $557 | $557 | 0.53% |
| CORESOURCE, INC.0 Filed as: TRUSTMARK HEALTH BEENFITS | 1280 NORTH PLUM STREET LANCASTER, PA 17601 | HCC LIFE INSURANCE COMPANY | — | $380 | $380 | 0.36% |
| WORLD INSURANCE ASSOCIATES LLC3 | 656 SHREWSBURY AVE STE 200 TINTON FALLS, NJ 077014964 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 5.14% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TRUSTMARK HEALTH BENEFITS EIN 35-1846036 NONE | Other services; Plan Administrator; Claims processing Service code 12 | — | $40K |
| AETNA - ASA EIN 06-6033492 NONE | Other services; Claims processing Service code 12 | — | $20K |
| WORLD INSURANCE ASSOCIATES EIN 45-3601219 NONE | Insurance agents and brokers; Consulting (general) Service code 16 | — | $13K |
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 | 101 | 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) | 101 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 158 | $49K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 158 | $49K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 95 | $105K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 158 | — |
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.