| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INDECS CORPORATION5 | 1099 WALL STREET WEST, STE 317 LYNDHURST, NJ 07071 | AETNA SIGNATURE ADMINISTRATORS | — | $40K | $40K | 5.23% |
| SFG EMPLOYEE BENEFITS3 Filed as: SFG EMPLOYEE BENEFITS & INS AGENCY | 3000 OAK RD, STE 220 WALNUT CREEK, CA 945972092 | UNITED HEALTHCARE INSURANCE CO | $87K | — | $87K | 13.72% |
| INDECS CORPORATION5 | 1099 WALL STREET WEST, STE 317 LYNDHURST, NJ 07071 | AETNA SIGNATURE ADMINISTRATORS | — | $32K | $32K | 9.72% |
| MERITAIN HEALTH5 Filed as: AETNA SIGNATURE ADMINISTRATORS | 29742 NETWORK PLACE CHICAGO, IL 60673 | AETNA SIGNATURE ADMINISTRATORS | — | $26K | $26K | 7.75% |
| HEALTHCARE STRAGETIS5 Filed as: HEALTHCARE STRATEGIES | P.O. BOX 37039 BALTIMORE, MD 212973039 | AETNA SIGNATURE ADMINISTRATORS | — | $4K | $4K | 1.22% |
| THE PERZEL AGENCY INC3 Filed as: PERZEL AGENCY | 7338 FRANKFORD AVE PHILADELPHIA, PA 19136 | AMALGAMATED LIFE INSURANCE COMPANY | $7K | — | $7K | 3.99% |
| ALFRED HEALY4 | 811 BETHLEHEM PIKE GLENSIDE, PA 19038 | AMALGAMATED LIFE INSURANCE COMPANY | $7K | — | $7K | 3.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INDEPENDENCE BLUE CROSS EIN 23-2184623 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $965K |
| SPEAR WILDERMAN EIN 23-2749511 NONE | Legal; Direct payment from the plan Service code 29 | — | $332K |
| MICHAEL PREVITERA EIN 91-2036994 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $193K |
| NOVAK FRANCELLA,LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $136K |
| KTP ADVISORS INC EIN 30-0126585 NONE | Securities brokerage Service code 33 | — | $123K |
| INNOVATIVE SOFTWARE SOLUTIONS INC EIN 23-2182079 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $118K |
| CRAIG SOCKETT EIN 91-2036994 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $113K |
| JOAN ROMAN EIN 91-2036994 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $99K |
| ENVISION PHARMACEUTICAL SERVICES EIN 05-0570786 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $94K |
| ROBYN SIMPSON EIN 91-2036994 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $93K |
| FIDELIO INSURANCE COMPANY EIN 23-2436056 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $88K |
| VICTORIA SOMERS EIN 91-2036994 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $85K |
| KERRI BURKE EIN 91-2036994 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $73K |
| WILLIAM VARA EIN 91-2036994 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $64K |
| PEG HANDLEY EIN 91-2036994 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $63K |
| CHARTWELL INVESTMENT PARTNER, LP EIN 23-2891243 NONE | Investment management; Soft dollars commissions; Investment management fees paid directly by plan Service code 28 | — | $59K |
| ALLIED TRADES ASSISTANCE PROGRAM EIN 23-2591093 NONE | Other services; Direct payment from the plan Service code 49 | — | $57K |
| ANNETTE GASPARON EIN 91-2036994 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $47K |
| HARBRIDGE CONSULTING GROUP LLC EIN 30-0192194 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $40K |
| BRIAN SMITH EIN 91-2036994 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $39K |
| TANYA MCAUGHLIN EIN 91-2036994 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $33K |
| HEALTHCARE STRATEGIES INC EIN 52-1874471 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $25K |
| GUARDIAN NURSES EIN 57-1187937 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $23K |
| KEYSTONE HEALTH PLAN EAST EIN 23-2405376 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $18K |
| RBC WEALTH MANAGEMENT EIN 41-1416330 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $18K |
| NATIONAL VISION ADMINISTRATORS LLC EIN 74-3033381 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $16K |
| JACOBY DONNER P.C EIN 23-2220388 NONE | Legal; Direct payment from the plan Service code 29 | — | $15K |
| PNC BANK EIN 25-1211909 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $11K |
| HEALTH MAP CORPORATION NONE | Consulting (general); Direct payment from the plan Service code 16 | 1 CLEMENTS CT MOUNT LAUREL, NJ 08054 | $6K |
| PROSUPPORT SYSTEM NONE | Direct payment from the plan; Consulting (general) Service code 16 | 327 MONTGOMERY AVE BALA CYNWYD, PA 19004 | $6K |
| ADP, INC EIN 22-1467904 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $5K |
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 | 1,882 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 771 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,653 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITED AMERICAN INSURANCE COMPANY | 528 | $3.0M |
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 1,957 | $182K |
| Prescription drug | UNITED AMERICAN INSURANCE COMPANY | 528 | $2.3M |
| Stop-loss / reinsurancereinsurance(2 contracts) | AETNA SIGNATURE ADMINISTRATORS | 172 | $1.1M |
| Other | UNITED AMERICAN INSURANCE COMPANY | 528 | $2.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,957 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.