| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PENNSYLVANIA AUTO ASSOC INS AGY INC3 | 1925 NORTH FRONT STREET HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | $234K | $68K | $302K | 6.01% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $207K | — | $207K | 4.12% |
| HR ADVANTAGE LLC3 | 332 SHAW ROAD RIDLEY PARK, PA 19078 | AMERICAN FIDELITY ASSURANCE COMPANY | $50K | — | $50K | 1.00% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | AMERICAN FIDELITY ASSURANCE COMPANY | $15K | — | $15K | 0.31% |
| BENEFIT WATCH LLC3 Filed as: BENEFIT WATCH INC | 164 SOUTH MAIN STREET YARDLEY, PA 19067 | AMERICAN FIDELITY ASSURANCE COMPANY | $11K | — | $11K | 0.21% |
| COLLEGEVILLE FINANCIAL GROUP LLC3 | 41 WEST MAIN STREET COLLEGEVILLE, PA 19426 | AMERICAN FIDELITY ASSURANCE COMPANY | $10K | — | $10K | 0.21% |
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC | 225 N SHORE DRIVE #300 PITTSBURGH, PA 15212 | AMERICAN FIDELITY ASSURANCE COMPANY | $5K | — | $5K | 0.10% |
| MARSH & MCLENNAN AGENCY LLC3 | PARK 80M W PLAZA 2 SADDLEBROOK, NJ 07663 | AMERICAN FIDELITY ASSURANCE COMPANY | $5K | — | $5K | 0.09% |
| MYERS BEAVER & VELLONE INS AGY INC3 | PO BOX 1391 ALTOONA, PA 16603 | AMERICAN FIDELITY ASSURANCE COMPANY | $4K | — | $4K | 0.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 4000 MIDLANTIC DRIVE #300 MOUNT LAUREL, NJ 08054 | AMERICAN FIDELITY ASSURANCE COMPANY | $4K | — | $4K | 0.08% |
| 701 WESTTOWN ROAD LLC3 | 200 W LINCOLN HWY #A EXTON, PA 19341 | AMERICAN FIDELITY ASSURANCE COMPANY | $4K | — | $4K | 0.08% |
| DEL-VAL INSURANCE GROUP INC3 | 967A STREET ROAD SOUTHAMPTON, PA 18966 | AMERICAN FIDELITY ASSURANCE COMPANY | $3K | — | $3K | 0.07% |
| TRION GROUP, INC.3 Filed as: TRION GROUP INC | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | — | $2K | 0.05% |
| SUPPLEMENTAL BENEFITS SERVICES INC3 Filed as: SUPPLEMENTAL BENEFIT SERVICES INC | PO BOX 927 MECHANICSBURG, PA 17055 | AMERICAN FIDELITY ASSURANCE COMPANY | $1K | — | $1K | 0.02% |
| GEORGE R VIOLAND3 Filed as: GEORGE VIOLAND | 5 GOLFVIEW LANE READING, PA 19606 | AMERICAN FIDELITY ASSURANCE COMPANY | $602 | — | $602 | 0.01% |
| NJ CAR SERVICES, INC.3 | 856 RIVER ROAD TRENTON, NJ 08628 | AMERICAN FIDELITY ASSURANCE COMPANY | $375 | — | $375 | 0.01% |
| ROCHE FINANCIAL INC3 | 1610 EAST THIRD STREET WILLIAMSPORT, PA 17701 | AMERICAN FIDELITY ASSURANCE COMPANY | $249 | — | $249 | 0.00% |
| CHARLES J GETTY3 | 3406 LYNNWOOD DRIVE WEST HOMESTEAD, PA 15120 | AMERICAN FIDELITY ASSURANCE COMPANY | $237 | — | $237 | 0.00% |
| STUART BENEFITS CONSULTING LLC3 | 26 W BROAD STREET #105 BETHLEHEM, PA 18018 | AMERICAN FIDELITY ASSURANCE COMPANY | $197 | — | $197 | 0.00% |
| WEST VIRGINIA AUTO DEALERS3 | P.O. BOX 2028 CHARLESTON, WV 25327 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $196 | $196 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INS SERVICES, INC. | 700 W 47TH STREET #1100 KANSAS CITY, MO 64112 | AMERICAN FIDELITY ASSURANCE COMPANY | $138 | — | $138 | 0.00% |
| CONSOLIDATED BENEFITS INC3 Filed as: CONSOLIDATED BENEFITS, INC. | P.O. BOX 774232 HARRISBURG, PA 17177 | AMERICAN FIDELITY ASSURANCE COMPANY | $20 | — | $20 | 0.00% |
| PENNA. AUTO ASSOC. INS. AGENCY3 Filed as: PENNA. AUTOMOTIVE ASSOC. INS. AGENC | 1925 N. FRONT STREET P.O. BOX 2955 HARRISBURG, PA 17105 | UNITED CONCORDIA LIFE & HEALTH INS. COMPANY | $59K | $14K | $73K | 2.45% |
| PENN. AUTOMOTIVE ASSOCIATION3 | 1925 NORTH FRONT STREET PO BOX 2955 HARRISBURG, PA 17105 | HM LIFE INSURANCE COMPANY | $20K | — | $20K | 6.00% |
| PENNSYLVANIA AUTO ASSOC INS AGY INC3 Filed as: PENNSYLVANIA AUTOMOTIVE ASSOC | 1925 NORTH FRONT STREET PO BOX 2955 HARRISBURG, PA 17105 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 5.50% |
| EMERSON REID LLC3 Filed as: EMERSON REID & CO INC | SUITE 310 1305 WALT WHITMAN ROAD MELVILLE, NY 11747 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 3.27% |
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 | 5,978 | 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) | 5,978 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMERICAN FIDELITY ASSURANCE COMPANY | 3,793 | $5.0M |
| Dental | UNITED CONCORDIA LIFE & HEALTH INS. COMPANY | 5,978 | $3.0M |
| Vision | HM LIFE INSURANCE COMPANY | 3,831 | $338K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 2,805 | $171K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 3,793 | $5.0M |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 3,793 | $5.0M |
| Other(2 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 3,793 | $5.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,978 | — |
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.