| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOESEL-SCHAAF INSURANCE AGENCY INC3 Filed as: LOESEL SCHAAF INSURANCE AGENCY | 3537 WEST 12TH STREET ERIE, PA 16505 | HIGHMARK NEW YORK | $31K | — | $31K | 2.13% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 | — | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 5.00% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 | 3537 WEST 12TH STREET ERIE, PA 16505 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 6.98% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 | 3537 W 12TH STREET ERIE, PA 16505 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $9K | — | $9K | 20.00% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 | 3537 WEST 12TH STREET ERIE, PA 16505 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 | 3537 WEST 12TH STREET ERIE, PA 16505 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 10.54% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 | 3537 WEST 12TH STREET ERIE, PA 16505 | THE PAUL REVERE LIFE INSURANCE COMPANY | $499 | — | $499 | 3.12% |
| KIMBERLY THOMPSON3 | 1614 THOMAS DR POINT OF ROCKS, MD 21842 | THE PAUL REVERE LIFE INSURANCE COMPANY | $307 | — | $307 | 1.92% |
| ASSURANCE AGENCY LTD3 Filed as: EMPLOYER ASSURANCE SOLUTIONS LLC | 4281 BUCKSKIN WOOD DR ELLICOTT CITY, MD 21042 | THE PAUL REVERE LIFE INSURANCE COMPANY | $282 | — | $282 | 1.76% |
| MARILYN WYMAN3 Filed as: MARILYN LEE WYMAN | 1219 BELLFIELD COURT GREENSBURG, PA 15601 | THE PAUL REVERE LIFE INSURANCE COMPANY | $263 | — | $263 | 1.64% |
| MICHAEL R ACKERMAN3 | 435 DEVON PARK DR WAYNE, PA 19087 | THE PAUL REVERE LIFE INSURANCE COMPANY | $249 | — | $249 | 1.56% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GEORGE JOSEPH FAETH | 426 ROYCROFT BLVD BUFFALO, NY 14226 | THE PAUL REVERE LIFE INSURANCE COMPANY | $195 | — | $195 | 1.22% |
| SADIE T PRESCOTT3 | 1130 GREENFIELD DRIVE ERIE, PA 16509 | THE PAUL REVERE LIFE INSURANCE COMPANY | $95 | — | $95 | 0.59% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GEORGE TERRANCE BARRETT | 10301 BREAKWATER CT OCEAN CITY, MD 21842 | THE PAUL REVERE LIFE INSURANCE COMPANY | $76 | — | $76 | 0.48% |
| STEPHEN JOSEPH JOYCE3 | 33 GATES CIR APT 2D BUFFALO, NY 14209 | THE PAUL REVERE LIFE INSURANCE COMPANY | $19 | $6 | $25 | 0.16% |
| JENNIFER ANN BARRETT3 | 10301 BREAKWATER CT OCEAN CITY, MA 21842 | THE PAUL REVERE LIFE INSURANCE COMPANY | $12 | — | $12 | 0.08% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 | 3537 WEST 12TH STREET ERIE, PA 16505 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 10.94% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 | 3537 W 12TH STREET ERIE, PA 16505 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $790 | — | $790 | 11.00% |
| ASSURANCE AGENCY LTD3 Filed as: EMPLOYER ASSURANCE SOLUTIONS LLC | 4281 BUCKSKIN WOOD DR ELLICOTT CITY, MD 21042 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $60 | — | $60 | 3.51% |
| SADIE T PRESCOTT3 | 1130 GREENFIELD DRIVE ERIE, PA 16509 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | — | $37 | 2.17% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 | 3537 WEST 12TH STREET ERIE, PA 16505 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | — | $37 | 2.17% |
| MICHAEL R ACKERMAN3 | 435 DEVON PARK DR STE 410 WAYNE, PA 19087 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | — | $19 | 1.11% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 | 3537 WEST 12TH STREET ERIE, PA 16505 | VISION BENEFITS OF AMERICA | $115 | — | $115 | 6.99% |
| MANUFACTURER & BUSINESS ASSOCIATION3 Filed as: MANUFACTURER & BUSINESS ASSOC. INS. | 2171 W 38TH ST ERIE, PA 16508 | VISION BENEFITS OF AMERICA | $33 | — | $33 | 2.00% |
| THE DJB GROUP3 Filed as: THE DJB GROUP INC. | 262 CHESTNUT ST SUITE 200 MEADVILLE, PA 16335 | VISION BENEFITS OF AMERICA | $33 | — | $33 | 2.00% |
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 | 345 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 345 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK NEW YORK | 287 | $1.4M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 179 | $73K |
| Vision | VISION BENEFITS OF AMERICA | 176 | $2K |
| Life insurance(4 contracts, 3 carriers) | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 202 | $67K |
| Short-term disability(3 contracts) | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 345 | $103K |
| Long-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 140 | $36K |
| Prescription drug | HIGHMARK NEW YORK | 287 | $1.4M |
| Other(2 contracts) | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 345 | $63K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 345 | — |
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.