| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EVANS PANCOAST3 | 237 W LANCASTER AVE STE 251 DEVON, PA 193331580 | DELTA DENTAL OF PENNSYLVANIA | $27K | — | $27K | 7.00% |
| CCI COMPASS LLC3 | 721 ARBOR WAY HILLCREST II, SUITE 180 BLUE BELL, PA 19422 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $16K | — | $16K | 11.89% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $181 | $181 | 0.14% |
| EVANS PANCOAST3 | 237 LANCASTER AVENUE, SUITE 251 DEVON, PA 19333 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $5K | — | $5K | 5.25% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: TRION GROUP,A MARSH MCLENNAN GROUP | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $469 | — | $469 | 0.50% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA, INC | FOUR GATEWAY CTR 444 LIBERTY AVENUE, STE 505 PITTSBURGH, PA 15222 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $155 | — | $155 | 0.17% |
| SMITH, RONALD B3 | 5 MADERA CT MOORESTOWN, NJ 08057 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $145 | — | $145 | 0.15% |
| CORPORATE SYNERGIES GROUP LLC3 | PO BOX 654118 DALLAS, TX 75265 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $87 | — | $87 | 0.09% |
| MEDWID, LEO E3 | 3200 MAGEE ST PHILADELPHIA, PA 19149 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $55 | — | $55 | 0.06% |
| LEONARD BRODSKY & ASSOCIATES3 Filed as: LEONARD BRODSKY & ASSOCIATES INC | 48 W BRIDGE ST NEW HOPE, PA 18938 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.01% |
| EVANS PANCOAST3 | 237 W LANCASTER AVE STE 251 DEVON, PA 193331580 | VISION SERVICE PLAN | $5K | — | $5K | 9.99% |
| CCI COMPASS LLC3 | 721 ARBOR WAY HILLCREST II, SUITE 180 BLUE BELL, PA 19422 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 11.90% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $62 | $62 | 0.14% |
| EVANS PANCOAST3 | 237 LANCASTER AVENUE, SUITE 251 DEVON, PA 19333 | FIRST UNUM LIFE INSURANCE COMPANY | $111 | — | $111 | 27.01% |
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 | 710 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 717 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF PENNSYLVANIA | 652 | $390K |
| Vision | VISION SERVICE PLAN | 510 | $50K |
| Life insurance(3 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 776 | $176K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 776 | $131K |
| Other(3 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 776 | $270K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 776 | — |
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.