| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STRICKLER AGENCY, INC3 | 95 ALEXANDER SPRING RD CARLISLE, PA 17013 | DELTA DENTAL OF PENNSYLVANIA | $167 | $0 | $167 | 9.98% |
| STRICKLER AGENCY, INC3 | 1200 E MCKINLEY ST PO BOX 307 CHAMBERSBURG, PA 17201 | NATIONAL VISION ADMINISTRATORS LLC (FSL) | $14 | $0 | $14 | 5.11% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE BENECON GROUP EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $1K |
| STRICKLER AGENCY INC. BROKER | Insurance agents and brokers Service code 22 | 95 ALEXANDER SPRING RD CARLISLE, PA 17013 | $1K |
| CONNECTCARE 3 EIN 26-1176861 PATIENT ADVOCATE | Other services Service code 49 | — | $209 |
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 | 54 | 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) | 54 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF PENNSYLVANIA | 61 | $2K |
| Vision | NATIONAL VISION ADMINISTRATORS LLC (FSL) | 57 | $274 |
| Life insurance | KANSAS CITY LIFE INSURANCE COMPANY | 54 | $192 |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE COMPANY | 41 | $13K |
| Other | KANSAS CITY LIFE INSURANCE COMPANY | 54 | $192 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 61 | — |
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.