| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DELAWARE VALLEY HEALTH CARE3 Filed as: DELAWARE VALLEY HEALTH CARE COALITI | 2980 S. HAMPTON RD. PHILADELPHIA, PA 19154 | DELTA DENTAL OF OHIO | — | $10K | $10K | 0.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NOA EIN 34-1337680 NONE | Accounting (including auditing); Contract Administrator Service code 10 | — | $1.6M |
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 NONE | Float revenue; Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | — | $1.0M |
| ANTHEM EIN 06-1475928 NONE | Float revenue; Claims processing; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 12 | — | $999K |
| PAYDHEALTH NONE | Other services Service code 49 | 4001 MC EWEN RD. SUITE 450 DALLAS, TX 75240 | $429K |
| EMPIRX HEALTH LLC EIN 47-1226691 NONE | Claims processing Service code 12 | — | $346K |
| ALLOTTA L FARLEY CO., L.P.A. EIN 34-1316963 NONE | Legal Service code 29 | — | $86K |
| THE TRUST COMPANY OF TOLEDO EIN 34-1661757 NONE | Investment management Service code 28 | — | $70K |
| SEGAL COMPANY EIN 31-1975125 NONE | Consulting (general) Service code 16 | — | $67K |
| CURALINC NONE | Other services Service code 49 | 314 W. SUPERIOR ST. #601 CHICAGO, IL 60654 | $44K |
| JOHNSON INVESTMENT COUNSEL EIN 31-1801770 NONE | Investment management Service code 28 | — | $37K |
| BUCK GLOBAL, LLC EIN 13-3954297 NONE | Consulting (general) Service code 16 | — | $32K |
| CLARKS, SCHAEFER, HACKETT & CO. EIN 31-0800053 NONE | Accounting (including auditing) Service code 10 | — | $30K |
| MARINER INSTITUTIONAL LLC EIN 26-2766689 NONE | Investment advisory (plan) Service code 27 | — | $22K |
| HUNTINGTON INSURANCE NONE | Insurance agents and brokers Service code 22 | 37 BROAD STREET COLUMBUS, OH 43215 | $14K |
| KEYSTONE PRINTING NONE | Other services Service code 49 | 1801 BROADWAY STREET TOLEDO, OH 43609 | $7K |
| BRIDGEWAY BENEFIT TECHNOLOGIES NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 3700 KOPPERS STREET SUITE 400 BALTIMORE, MD 21227 | $7K |
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 | 1,877 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 397 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,274 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF OHIO | 5,147 | $2.0M |
| Vision | VISION SERVICE PLAN | 2,254 | $186K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,855 | $57K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 1,855 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,147 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.