| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHNSON KENDALL AND JOHNSON3 | 109 PHEASANT RUN NEWTOWN, PA 18940 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $12K | — | $12K | 3.86% |
| TOMPKINS INS AGENCY3 Filed as: TOMPKINS INSURANCE AGENCY | 90 MAIN ST BATAVIA, NY 14020 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 1.14% |
| JOHNSON KENDALL AND JOHNSON3 Filed as: JOHNSON KENDALL & JOHNSON | 109 PHEASANT RUN NEWTOWN, PA 18940 | DELTA DENTAL OF PENNSYLVANIA | $9K | — | $9K | 3.75% |
| TOMPKINS INSURANCE AGENCIES3 | 90 MAIN ST BATAVIA, NY 14020 | DELTA DENTAL OF PENNSYLVANIA | $3K | — | $3K | 1.25% |
| JOHNSON KENDALL AND JOHNSON3 | 109 PHEASANT RUN NEWTOWN, PA 18940 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | — | $5K | 3.65% |
| TOMPKINS INS AGENCY3 Filed as: TOMPKINS INSURANCE AGENCY | 90 MAIN ST BATAVIA, NY 14020 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 1.35% |
| JOHNSON KENDALL AND JOHNSON3 | 109 PHEASANT RUN NEWTOWN, PA 18940 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 3.70% |
| TOMPKINS INS AGENCY3 Filed as: TOMPKINS INSURANCE AGENCY | 90 MAIN ST BATAVIA, NY 14020 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $789 | — | $789 | 1.30% |
| JOHNSON KENDALL AND JOHNSON3 Filed as: JOHNSON KENDALL & JOHNSON BENEFITS | 109 PHEASANT RUN NEWTOWN, PA 18940 | VISION BENEFITS OF AMERICA | $2K | — | $2K | 3.73% |
| TOMPKINS INSURANCE AGENCIES3 Filed as: TOMPKINS INSURANCE AGENCIES INC. | 1240 BROADCASTING ROAD P.O. BOX 6707 WYOMISSING, PA 19610 | VISION BENEFITS OF AMERICA | $716 | — | $716 | 1.27% |
| JOHNSON KENDALL AND JOHNSON3 | 109 PHEASANT RUN NEWTOWN, PA 18940 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $449 | — | $449 | 3.75% |
| TOMPKINS INS AGENCY3 Filed as: TOMPKINS INSURANCE AGENCY | 90 MAIN ST BATAVIA, NY 14020 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $150 | — | $150 | 1.25% |
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 | 1,254 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,254 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF PENNSYLVANIA | 873 | $243K |
| Vision | VISION BENEFITS OF AMERICA | 862 | $57K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,207 | $134K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,254 | $301K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 475 | $61K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,207 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,254 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.