| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | 280 GRANITE RUN DR STE 250 LANCASTER, PA 17601 | HIGHMARK | $50K | $0 | $50K | 66.85% |
| SAMUAL A BOORE3 | 717 MARKET ST #110 LEMOYNE, PA 17043 | AUL ONEAMERICA | $3K | $0 | $3K | 8.67% |
| FOCUSHRO, LLC3 | 717 MARKET ST #110 LEMOYNE, PA 17043 | AUL ONEAMERICA | $2K | $0 | $2K | 6.33% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS | 280 GRANITE RUN DR STE 250 LANCASTER, PA 17601 | DEARBORN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 12.72% |
| CONSOLIDATED BENEFITS INC3 | 2500 ELMERTON AVE HARRISBURG, PA 17177 | DEARBORN LIFE INSURANCE COMPANY | $0 | $605 | $605 | 6.57% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK EIN 23-1294723 ADMIN | Claims processing Service code 12 | — | $72K |
| AP BENEFIT ADVISORS LLC BROKER | Insurance agents and brokers Service code 22 | 200 INTERNATIONAL CIR STE 4500 HUNT VALLEY, MD 21031 | $50K |
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 | 210 | 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) | 213 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HIGHMARK | 292 | $74K |
| Life insurance(2 contracts, 2 carriers) | AUL ONEAMERICA | 210 | $46K |
| Short-term disability | AUL ONEAMERICA | 25 | $37K |
| Long-term disability | AUL ONEAMERICA | 25 | $37K |
| Other(2 contracts, 2 carriers) | AUL ONEAMERICA | 210 | $46K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 292 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.