| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SVCS INC | UNKNOWN PITTSBURGH, PA 15233 | INDEPENDENCE BLUE CROSS | $252K | — | $252K | 4.33% |
| CORPORATE SYNERGIES GROUP LLC3 | 5000 DEARBORN CIRCLE MT. LAUREL, NJ 08054 | INDEPENDENCE BLUE CROSS | $27K | — | $27K | 0.46% |
| BENEFIT ADVISORS SERVICES GROUP LLC3 | 1501 REEDSDALE ST STE 3005 PITTSBURGH, PA 15233 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $23K | — | $23K | 9.61% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES HOUSTON | LLC 1120 SANCTUARY PKWY STE 300 ALPHARETTA, GA 30009 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $6K | $6K | 2.28% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $728 | $728 | 0.30% |
| WORKPLACE SOLUTIONS, INC.3 Filed as: WORKPLACE SOLUTIONS, INC | 120A GILLS CREEK PKWY COLUMBIA, SC 292091248 | RELIASTAR LIFE INSURANCE COMPANY | $4K | — | $4K | 10.20% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES, INC. | 5000 DEARBORN CIR STE 100 MOUNT LAUREL, NJ 080544108 | RELIASTAR LIFE INSURANCE COMPANY | $3K | — | $3K | 7.32% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1501 REEDSDALE ST STE 403 PITTSBURGH, PA 152332306 | RELIASTAR LIFE INSURANCE COMPANY | $2K | — | $2K | 4.37% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B ST 6TH FL SAN DIEGO, CA 921018101 | RELIASTAR LIFE INSURANCE COMPANY | $220 | — | $220 | 0.60% |
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 | 1,775 | 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) | 1,775 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | INDEPENDENCE BLUE CROSS | 608 | $5.8M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 766 | $203K |
| Vision | HEARTLAND | 874 | $52K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,775 | $243K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,775 | $243K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,775 | $243K |
| Prescription drug | INDEPENDENCE BLUE CROSS | 608 | $5.8M |
| Other(3 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,850 | $336K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,850 | — |
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.