| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JN SAVASTA CORP3 Filed as: J N SAVASTA CORP | 1350 BROADWAY RM 410 NEW YORK, NY 10018 | RELIANCE STANDARD | $3K | — | $3K | 17.58% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS EIN 25-1139840 NONE | Claims processing; Contract Administrator Service code 12 | — | $136K |
| CAREFIRST PPO EIN 52-1187907 NONE | Claims processing; Other fees Service code 12 | — | $49K |
| AMERICAN HEALTH HOLDING EIN 31-1368946 NONE | Other services Service code 49 | — | $41K |
| SAVASTA & CO. EIN 13-3879959 NONE | Actuarial Service code 11 | — | $32K |
| KEYPRO ACQUISITIONS, INC. EIN 42-1413902 NONE | Other services Service code 49 | — | $18K |
| SEGAL COMPANY EIN 13-1835684 NONE | Investment advisory (plan) Service code 27 | — | $17K |
| MCCHESNEY & DALE EIN 52-1842141 NONE | Legal Service code 29 | — | $12K |
| CALIBRE CPA GROUP EIN 47-0900880 NONE | Accounting (including auditing) Service code 10 | — | $10K |
| ROY ESSEX EIN 52-6056136 TRUSTEE | Trustee (individual) Service code 20 | — | $8K |
| WELLS FARGO EIN 41-0449260 NONE | Custodial (securities) Service code 19 | — | $6K |
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 | 666 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 96 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 762 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF PENNSYLVANIA | 1,601 | $363K |
| Vision(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 1,686 | $58K |
| Life insurance | RELIANCE STANDARD | 734 | $20K |
| Other | RELIANCE STANDARD | 734 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,686 | — |
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."
No prospect flags tripped on this filing.