| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 1787 SENTRY PKWY W BLUE BELL, PA 19422 | AETNA LIFE INSURANCE CO. | $0 | $3K | $3K | 0.30% |
| USI INSURANCE SERVICES LLC3 | 1787 SENTRY PKWY W BLUE BELL, PA 19422 | AETNA LIFE INSURANCE CO. | $0 | $2K | $2K | 0.21% |
| USI INSURANCE SERVICES LLC3 | 11350 MCCORMICK RD STE 1200 HUNT VALLEY, MD 210311002 | PRINCIPAL LIFE INSURANCE COMPANY | $17K | $0 | $17K | 7.03% |
| BENEFIT VENTURES CORP3 | 1460 US HIGHWAY 9 N STE 304 WOODBRIDGE, NJ 070951400 | PRINCIPAL LIFE INSURANCE COMPANY | -$11 | $0 | -$11 | -0.00% |
| DONALD C SAVOY INC3 | 200 CONNELL DR STE 1000 BERKLEY HEIGHTS, NJ 079222823 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | -$15 | -$15 | -0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| USI INSURANCE SERVICES LLC BROKER | Insurance agents and brokers Service code 22 | 1787 SENTRY PKWY W BLUE BELL, PA 19422 | $40K |
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 | 443 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 446 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 174 | $847K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 289 | $245K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 289 | $245K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 289 | $245K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 289 | $245K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 289 | $245K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 289 | — |
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.