| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DELAWARE VALLEY HEALTH CARE3 Filed as: DELAWARE VALLEY HEALTH CARE COALITI | 2980 SOUTHAMPTON RD PHILADELPHIA, PA 19154 | DELTA DENTAL OF PENNSYLVANIA | $3K | — | $3K | 8.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WPAS, INC. EIN 91-1363171 NONE | Plan Administrator; Claims processing; Contract Administrator; Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $673K |
| CAREFIRST OF MARYLAND, INC. EIN 52-1385894 NONE | Other services; Claims processing; Direct payment from the plan; Insurance services Service code 12 | — | $96K |
| AMERICAN HEALTH HOLDING INC EIN 31-1368946 NONE | Direct payment from the plan; Other services Service code 49 | — | $73K |
| ALAFFIA TECHNOLOGY SOLUTIONS EIN 85-1020529 NONE | Other services; Direct payment from the plan Service code 49 | — | $70K |
| BHA CONSULTING LLC EIN 26-1384808 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $47K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $37K |
| O'DONOGHUE & O'DONOGHUE LLP EIN 53-0120528 NONE | Legal; Direct payment from the plan Service code 29 | — | $31K |
| PRINCIPAL FINANCIAL GROUP, INC. EIN 42-1520346 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Custodial (other than securities) Service code 15 | — | $25K |
| CHANGE HEALTHCARE SOLUTIONS, LLC EIN 20-5731067 NONE | Other services; Direct payment from the plan Service code 49 | — | $24K |
| SCHULTHESIS AND PLANETTIERI EIN 13-1577780 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $20K |
| BANK OF AMERICA EIN 94-1687665 NONE | Direct payment from the plan; Other services Service code 49 | — | $15K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $14K |
| CHARTWELL INVESTMENT PARTNERS EIN 36-4776242 NONE | Direct payment from the plan; Investment management; Investment management fees paid directly by plan; Named fiduciary Service code 28 | — | $7K |
| PRINT TIME NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 1105 W 24TH KANSAS CITY, MO 64108 | $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 | 900 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 70 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 970 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 0 | $0 |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 2,485 | $41K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,001 | $266K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,485 | — |
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.