| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHNSON KENDALL AND JOHNSON3 Filed as: JOHNSON KENDALL JOHNSON | 109 PHEASANT RUN NEWTOWN, PA 18940 | DELTA DENTAL OF PENNSYLVANIA | $5K | — | $5K | 10.00% |
| DAVID F BERDOW3 Filed as: DAVID F BEDROW | P.O. BOX 900 NARBERTH, PA 19072 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 4.62% |
| ROBERT W OWEN3 Filed as: ROBERT J RILEY | 208 OLD LANCASTER RD DEVON, PA 19333 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 4.62% |
| EMERSON REID LLC3 Filed as: EMERSON REID & CO. | 669 RIVER DR STE 305 ELMWOOD PARK, NJ 07407 | VISION SERVICE PLAN | $383 | — | $383 | 5.01% |
| JOHNSON KENDALL AND JOHNSON3 | BENEFITS INC. 109 PHEASANT RUN NEWTOWN, PA 18940 | VISION SERVICE PLAN | $86 | — | $86 | 1.12% |
| DAVID F BERDOW3 | P.O. BOX 900 NARBERTH, PA 19072 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $331 | — | $331 | 7.51% |
| ROBERT W OWEN3 Filed as: ROBERT J RILEY | 208 OLD LANCASTER RD DEVON, PA 19333 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $331 | — | $331 | 7.51% |
| DAVIS F BEDROW3 | P.O. BOX 900 NARBERTH, PA 19072 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $157 | — | $157 | 7.48% |
| ROBERT W OWEN3 Filed as: ROBERT J RILEY | 208 OLD LANCASTER RD DEVON, PA 19333 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $157 | — | $157 | 7.48% |
| DAVID F BERDOW3 | P.O. BOX 900 NARBERTH, PA 19072 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $125 | — | $125 | 7.52% |
| ROBERT W OWEN3 Filed as: ROBERT J RILEY | 208 OLD LANCASTER RD DEVON, PA 19333 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $125 | — | $125 | 7.52% |
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 | 131 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | INDEPENDENCE BLUE CROSS | 90 | $433K |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 91 | $49K |
| Vision | VISION SERVICE PLAN | 70 | $8K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 131 | $4K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 131 | $23K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 131 | $4K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 131 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 131 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.