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| Provider | Services | Address | Compensation |
|---|---|---|---|
| INDEPENDENCE BLUE CROSS EIN 23-2184623 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $1.5M |
| GUARDIAN NURSES EIN 57-1187937 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $416K |
| BENECARD SERVICES, INC. EIN 22-2998772 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $243K |
| BRIDGEWAY BENEFIT TECHNOLOGIES NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 3000 SOUTH LENOLA ROAD MAPLE SHADE, NJ 08052 | $209K |
| MICHAEL PREVITERA EIN 91-2036994 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $195K |
| FIDELIO INSURANCE COMPANY EIN 23-2436056 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $147K |
| ROBYN SIMPSON EIN 91-2036994 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $124K |
| REBECCA FLETCHER EIN 91-2036994 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $110K |
| KERRI BURKE EIN 91-2036994 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $101K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $98K |
| ALLIED TRADES ASSISTANCE PROGRAM EIN 23-2591093 NONE | Other services; Direct payment from the plan Service code 49 | — | $94K |
| PEG HANDLEY EIN 91-2036994 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $78K |
| ANNETTE GASPARON EIN 91-2036994 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| 235 W LANCASTER AVE OPCO, LLC NONE | Other services; Direct payment from the plan Service code 49 | 235 W LANCASTER AVE DEVON, PA 19333 | $66K |
| TANYA MCLAUGHLIN EIN 91-2036994 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $61K |
| CONNOR WATTON EIN 91-2036994 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $60K |
| CHARTWELL INVESTMENT PARTNERS LLC EIN 36-4776242 NONE | Soft dollars commissions; Investment management; Investment management fees paid directly by plan Service code 28 | — | $60K |
| MARY TOLL EIN 91-2036994 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $54K |
| SUMMIT ACTUARIAL SERVICES EIN 11-4385930 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $40K |
| CRAIG SOCKET EIN 91-2036994 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $38K |
| VICTORIA SOMERS EIN 91-2036994 EMPLOYEE | Direct payment from the plan Service code 50 | — | $37K |
| PROSUPPORT SYSTEMS NONE | Direct payment from the plan; Consulting (general) Service code 16 | 327 MONTGOMERY AVE. BALA CYNWYD, PA 19004 | $36K |
| MWM LAW LLC NONE | Legal; Direct payment from the plan Service code 29 | 1845 WALNUT STREET, SUITE 1199 PHILADELPHIA, PA 19103 | $33K |
| XPAN LAW PARTNERS NONE | Direct payment from the plan; Other services Service code 49 | 4 N MAPLE AVE. MARLTON, NJ 08053 | $25K |
| NATIONAL VISION ADMINISTRATORS LLC EIN 74-3033381 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $19K |
| RBC WEALTH MANAGEMENT EIN 41-1416330 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $18K |
| CHARLSON, BRABER, MCCABE & DENMARK EIN 81-3679705 NONE | Legal; Direct payment from the plan Service code 29 | — | $17K |
| PNC BANK EIN 25-1211909 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $14K |
| MIRMONT TREATMENT CENTER EIN 23-2215243 NONE | Direct payment from the plan; Other services Service code 49 | — | $13K |
| CANON FINANCIAL SERVICES, INC. EIN 13-2561772 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $12K |
| DELAWARE VALLEY HEALTH CARE COALIT. EIN 23-2813763 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $11K |
| SPEAR WILDERMAN EIN 23-2749511 NONE | Legal; Direct payment from the plan Service code 29 | — | $10K |
| JENNINGS SIGMOND, P.C. EIN 23-2025670 NONE | Legal; Direct payment from the plan Service code 29 | — | $9K |
| CUMMINS COUNSELING, LLC NONE | Direct payment from the plan; Other services Service code 49 | 536 MAPLE AVE LINWOOD, NJ 08221 | $9K |
| CLEARBROOK TREATMENT CENTER NONE | Direct payment from the plan; Other services Service code 49 | 1100 E NORTHAMPTON ST. LAUREL RUN, PA 18706 | $9K |
| KINGSWAY RECOVERY LLC EIN 82-1797247 NONE | Direct payment from the plan; Other services Service code 49 | — | $7K |
| AWJW LLC NONE | Direct payment from the plan; Other services Service code 49 | 2625 STRANAHAN DRIVE ALHAMBRA, CA 91803 | $7K |
| AUTOMATIC DATA PROCESSING EIN 22-1467904 NONE | Other services; Direct payment from the plan Service code 49 | — | $7K |
| SANARE TODAY LLC EIN 47-5272180 NONE | Other services; Direct payment from the plan Service code 49 | — | $6K |
| SILVER LININGS RECOVERY CENTER EIN 82-4770806 NONE | Other services; Direct payment from the plan Service code 49 | — | $6K |
| FAIRMOUNT BEHAVIORAL HEALTH SYSTEM NONE | Direct payment from the plan; Other services Service code 49 | 561 FAIRTHORNE AVE PHILADELPHIA, PA 19128 | $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 | 2,067 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 297 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,364 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITED AMERICAN INSURANCE COMPANY | 832 | $4.8M |
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 2,187 | $318K |
| Prescription drug | UNITED AMERICAN INSURANCE COMPANY | 832 | $4.0M |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 2,126 | $1.2M |
| Other | UNITED AMERICAN INSURANCE COMPANY | 832 | $4.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,187 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.