| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS GENERAL AG | 400 BERWYN PARK SUITE 200 899 CASSATT ROAD BERWYN, PA 19312 | HIGHMARK DELAWARE | $48K | — | $48K | 3.52% |
| WILLIAMS INSURANCE AGENCY3 | PO BOX 1174 REHOBOTH BEACH, DE 19971 | HARTFORD LIFE AND ACCIDENT | $6K | — | $6K | 8.54% |
| USI INSURANCE SERVICES LLC3 | 1787 SENTRY PARKWAY W STE 300 BLUE BELL, PA 19422 | HARTFORD LIFE AND ACCIDENT | $311 | — | $311 | 0.41% |
| O'NEILL VOLUNTARY BENEFIT SERVICES3 | 5626 KIRKWOOD HIGHWAY WILMINGTON, DE 19808 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $3K | $7K | 18.27% |
| NICHOLAS CUSMANO3 | 79 PORT HERMAN RD CHESAPEAKE CY, MD 21915 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $36 | $2K | 4.44% |
| CHESAPEAKE INSURANCE ADVISORS3 | PMN 552 KENNETT SQ, PA 19348 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $460 | — | $460 | 1.24% |
| ROTH VOLUNTARY BENEFIT SERVICES INC3 | 9 DEARBORN LANE BEAR, DE 19701 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $40 | — | $40 | 0.11% |
| LISA A PERRI3 | 775 ROUTE 70 EAST MARLTON, NJ 08053 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | — | $18 | 0.05% |
| MICHAEL J PERRI3 | 775 ROUTE 70 EAST MARLTON, NJ 08053 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| THE WILLIAMS AGENCY INC INSURANCE3 Filed as: WILLIAMS AGENCY INC INSURANCE | PO BOX 1240 HOCKESSIN, DE 197075240 | VISION SERVICE PLAN | $1K | — | $1K | 5.65% |
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 | 172 | 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) | 172 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HIGHMARK DELAWARE | 310 | $1.4M |
| Dental | HIGHMARK DELAWARE | 310 | $1.4M |
| Vision | VISION SERVICE PLAN | 140 | $21K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 306 | $112K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 306 | $75K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 306 | $112K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 310 | — |
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.