| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ELES ENTERPRISES INC3 | P.O. BOX 445 RIEGELSVILLE, PA 18077 | METROLOLITIAN LIFE INSURANCE CO | $13K | $15 | $13K | 8.32% |
| WILSON H TRANSUE3 Filed as: WILSON TRANSUE | 1487 SULLIVAN TRL TANNERSVILLE, PA 18372 | AFLAC | $937 | $18 | $955 | 6.45% |
| STEPHEN D BISSELL3 | 5465 AMANDA DRIVE LAURYS STATION, PA 18059 | AFLAC | $256 | $4 | $260 | 1.76% |
| LISA A BROMAGE3 Filed as: LISA BROMAGE | 157 SPRING STREET SCRANTON, PA 18508 | AFLAC | $105 | — | $105 | 0.71% |
| FRED A REEDER3 Filed as: FRED A. REEDER | 380 EAST MAIN STREET LOCK HAVEN, PA 17745 | AFLAC | $68 | — | $68 | 0.46% |
| JEFFREY CHUBB3 | 520 WEST 4TH ST SUITE 1A WILLIAMSPORT, PA 17701 | AFLAC | $63 | $4 | $67 | 0.45% |
| SHARON R GRANT3 | 4975 KINGSTON WAY NAPLES, FL 34119 | AFLAC | $54 | — | $54 | 0.36% |
| C A LUPP INC3 | 940 E PARK DR, SUITE 301 HARRISBURG, PA 17111 | AFLAC | $34 | — | $34 | 0.23% |
| WILLIAM M KNOTT3 Filed as: WILLIAM KNOTT | 24040 GREEN FOREST DR EUSTIS, FL 32736 | AFLAC | $25 | — | $25 | 0.17% |
| CHRISTOPHER BORNEISEN3 | 20 E JACKSON ST MCADOO, PA 18237 | AFLAC | $24 | — | $24 | 0.16% |
| JOSEPH G GRABLICK3 Filed as: JOSEPH GRABLICK | 716 SUSQUEHANNA AVE WYOMING, PA 18644 | AFLAC | $24 | — | $24 | 0.16% |
| RANDALL SIMS3 | 138 DERR DR COLLEGEVILLE, PA 19426 | AFLAC | $23 | — | $23 | 0.16% |
| MATTHEW G BERGER3 | 22 SUNNYRIDGE RD PHILADELPHIA, PA 19125 | AFLAC | $21 | — | $21 | 0.14% |
| BLACK ROK BENEFIT ALLIANCE LLC3 Filed as: BLACK ROCK BENEFIT ALLIANCE LLC | PO BOX 211 YOUNGWOOD, PA 15697 | AFLAC | $9 | — | $9 | 0.06% |
| MARTHA G ALLEN3 | 412 WASHINGTON STREET NEW BETHLEHEM, PA 16242 | AFLAC | $9 | — | $9 | 0.06% |
| STEVEN R KARAS3 | 2000 COMMONWEALTH AVENUE, STE 110 AUBURNDALE, MA 02466 | AFLAC | $9 | — | $9 | 0.06% |
| DARREN D RIDDLE3 | 7850 AVONDALE TERRACE HARRISBURG, PA 17112 | AFLAC | $8 | — | $8 | 0.05% |
| BRIAN W PATTEN3 | 120 MARGUERITE DRIVE, STE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $7 | — | $7 | 0.05% |
| IRENE E BROOKS3 Filed as: IRENE BROOKS | 101 COPPER BEECH LANE WOMELSGORF, PA 19567 | AFLAC | $7 | — | $7 | 0.05% |
| JOHN TUSETH3 | 5821 LOWRY DRIVE NW ROCHESTER, MN 55901 | AFLAC | $7 | — | $7 | 0.05% |
| DIANNE L MARTIN3 Filed as: DIANNE MARTIN | 125 MANOR STREET HARRISBURG, PA 17110 | AFLAC | $6 | — | $6 | 0.04% |
| BILLY M CRAIN3 | 97 PICKERING ST BROOKVILLE, PA 15825 | AFLAC | $5 | — | $5 | 0.03% |
| DEBRA L CARL3 | 2042 STATE ROUTE 61 SUNBURY, PA 17801 | AFLAC | $5 | — | $5 | 0.03% |
| RYAN K GOLDBERG3 | 103 CHURCH STREET, #3 PHILADELPHIA, PA 19106 | AFLAC | $5 | — | $5 | 0.03% |
| ANGELA MASSARELLI3 | 30 WATERFRONT WAY HAMMONTON, NJ 08037 | AFLAC | $5 | — | $5 | 0.03% |
| MARK D BARBIER3 Filed as: MARK BARBIER | 802 DEER TRAIL LANE OAK BROOK, IL 60523 | AFLAC | $4 | — | $4 | 0.03% |
| BILLY M CRAIN3 | 1026 RHODES LN BROOKVILLE, PA 15825 | AFLAC | $4 | — | $4 | 0.03% |
| DANIEL R JUDY3 | 231 WALTERS MILL ROAD SOMERSET, PA 15501 | AFLAC | $3 | — | $3 | 0.02% |
| DAVID W RANCK3 | 848 E MAIN , STE 800 EPHRATA, PA 17522 | AFLAC | $2 | — | $2 | 0.01% |
| MICHAEL D SCHULTZ3 | 1126 25TH AVE NW FARIBAULT, MN 55021 | AFLAC | $2 | — | $2 | 0.01% |
| CHRISTOPHER A LUPP3 | 940 E. PARK DR., SUITE 301 HARRISBURG, PA 17111 | AFLAC | $2 | — | $2 | 0.01% |
| MARTIN E BYSTROM3 | 253 MINORCA BEACH WAY, APT 305 NEW SMYRNA BEACH, FL 32169 | AFLAC | $2 | — | $2 | 0.01% |
| MELISSA DAWN MCCLAIN3 | 104 WITHEROW RD SEWICKLEY, PA 15143 | AFLAC | $2 | — | $2 | 0.01% |
| DANIEL P CLARK3 | 33 LANDAU ROAD PLAINVILLE, MA 02762 | AFLAC | $1 | — | $1 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WELLPOWER INC EIN 22-3530108 NONE | Claims processing Service code 12 | — | $25K |
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 | 183 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 185 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HIGHMARK INC- MEDICAL | 155 | $1.2M |
| Dental | METROLOLITIAN LIFE INSURANCE CO | 463 | $155K |
| Vision | HIGHMARK INC- VISION | 359 | $16K |
| Life insurance(2 contracts, 2 carriers) | METROLOLITIAN LIFE INSURANCE CO | 463 | $170K |
| Short-term disability | METROLOLITIAN LIFE INSURANCE CO | 463 | $155K |
| Long-term disability | METROLOLITIAN LIFE INSURANCE CO | 463 | $155K |
| Other(2 contracts, 2 carriers) | METROLOLITIAN LIFE INSURANCE CO | 463 | $170K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 463 | — |
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."
No prospect flags tripped on this filing.