| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EVANS PANCOAST3 | 237 W LANCASTER AVE STE 251 DEVON, PA 193331580 | DELTA DENTAL OF PENNSYLVANIA | $24K | — | $24K | 7.13% |
| EVANS PANCOAST3 | 237 LANCASTER AVENUE, SUITE 251 DEVON, PA 19333 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 2.81% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $583 | — | $583 | 0.66% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC | FOUR GATEWAY CTR 444 LIBERTY AVE STE 505 PITTSBURGH, PA 15222 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $335 | — | $335 | 0.38% |
| RONALD B SMITH3 | 5 MADERA CT MOORESTOWN, NJ 08057 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $173 | — | $173 | 0.20% |
| CORPORATE SYNERGIES GROUP LLC3 | PO BOX 654118 DALLAS, TX 75265 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $125 | — | $125 | 0.14% |
| LEO E MEDWID3 | 3200 MAGEE ST PHILADELPHIA, PA 19149 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $64 | — | $64 | 0.07% |
| LEONARD BRODSKY & ASSOCIATES3 Filed as: LEONARD BRODSKY & ASSOCIATES INC | 48 W BRIDGE ST NEW HOPE, PA 18938 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.01% |
| CCI COMPASS LLC3 | 721 ARBOR WAY HILLCREST II, SUITE 180 BLUE BELL, PA 19422 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 10.00% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $75 | $75 | 0.11% |
| EVANS PANCOAST3 | 237 LANCASTER AVENUE, SUITE 251 DEVON, PA 19333 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 10.55% |
| EVANS PANCOAST3 | 237 W LANCASTER AVE STE 251 DEVON, PA 193331580 | VISION SERVICE PLAN | $4K | — | $4K | 9.87% |
| CCI COMPASS LLC3 | 721 ARBOR WAY HILLCREST II, SUITE 180 BLUE BELL, PA 19422 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 9.97% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $32 | $32 | 0.11% |
| EVANS PANCOAST3 | 237 LANCASTER AVENUE, SUITE 251 DEVON, PA 19333 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 15.00% |
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 | 653 | 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) | 656 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF PENNSYLVANIA | 543 | $331K |
| Vision | VISION SERVICE PLAN | 411 | $42K |
| Life insurance(5 contracts, 3 carriers) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 653 | $248K |
| Short-term disability | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 217 | $88K |
| Long-term disability(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 616 | $119K |
| Other(5 contracts, 3 carriers) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 653 | $248K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 653 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.