| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IN GROUP ASSOCIATES, INC. Filed as: IN GROUP ASSOCIATES, INC | 448 MURRAY HILL CIRCLE LANCASTER, PA 17601 | SYMETRA LIFE INSURANCE COMPANY | — | $10K | $10K | 1.89% |
| DAVIDSON BENEFITS PLANNING LLC3 Filed as: DAVIDSON BENF PLANNING AN ALER | 7632 SW DURHAM RD STE 115 TIGARD, OR 97224 | SYMETRA LIFE INSURANCE COMPANY | — | $4K | $4K | 0.68% |
| NATIONAL BENEFITS CENTER LLC | 6830 COCHRAN ROAD SOLON, OH 44139 | SYMETRA LIFE INSURANCE COMPANY | — | $2K | $2K | 0.45% |
| IN GROUP ASSOCIATES, INC.3 Filed as: IN GROUP ASSOCIATES, INC | 448 MURRAY HILL CIRCLE LANCASTER, PA 17601 | HEARTLAND | $2K | — | $2K | 5.00% |
| IN GROUP ASSOCIATES, INC.3 Filed as: IN GROUP ASSOCIATES, INC | 448 MURRAY HILL CIRCLE LANCASTER, PA 17601 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 15.00% |
| BENEFITMALL3 | 250 W OLD WILSON BRDGE RD STE 190 WORTHINGTON, OH 43085 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $782 | $782 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK INC. EIN 23-1294723 | Claims processing Service code 12 | 1800 CENTER STREET PO BOX 890089 CAMP HILL, PA 17089 | $65K |
| SIGNIFICA BENEFIT SERVICES EIN 23-1374081 | Claims processing Service code 12 | PO BOX 7777 LANCASTER, PA 176047777 | $13K |
| LIFE INSURANCE COMPANY OF NORTH AME EIN 23-1503749 | Claims processing Service code 12 | PO BOX 20643 LEHIGH VALLEY, PA 180020643 | $9K |
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 | 412 | 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) | 412 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | HEARTLAND | 683 | $33K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 412 | $16K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 358 | $537K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 683 | — |
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.