| 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 | $125K | $27K | $153K | 5.26% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $123K | — | $123K | 4.22% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | AMERICAN FIDELITY ASSURANCE COMPANY | $15K | — | $15K | 0.53% |
| HR ADVANTAGE LLC3 | 37 OAKMONT PL MEDIA, PA 19063 | AMERICAN FIDELITY ASSURANCE COMPANY | $15K | — | $15K | 0.51% |
| BENEFIT WATCH LLC3 Filed as: BENEFIT WATCH INC | 164 SOUTH MAIN STREET YARDLEY, PA 19067 | AMERICAN FIDELITY ASSURANCE COMPANY | $8K | — | $8K | 0.26% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 4000 MIDLANTIC DRIVE #300 MOUNT LAUREL, NJ 08054 | AMERICAN FIDELITY ASSURANCE COMPANY | $5K | — | $5K | 0.18% |
| COLLEGEVILLE FINANCIAL GROUP LLC3 | 41 WEST MAIN STREET COLLEGEVILLE, PA 19426 | AMERICAN FIDELITY ASSURANCE COMPANY | $4K | — | $4K | 0.12% |
| BUSH, JOSEPH P3 | 215 CLOVER LN PHOENIXVILLE, PA 19460 | AMERICAN FIDELITY ASSURANCE COMPANY | $3K | — | $3K | 0.10% |
| MARSH & MCLENNAN AGENCY LLC3 | PARK 80M W PLAZA 2 SADDLE BROOK, NJ 07663 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | — | $2K | 0.08% |
| TRION GROUP, INC.3 Filed as: TRION GROUP INC | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | AMERICAN FIDELITY ASSURANCE COMPANY | $928 | — | $928 | 0.03% |
| SELTZER GROUP PARTNERS LLC3 | 610 ROUTE 61 S ORWIGSBURG, PA 17961 | AMERICAN FIDELITY ASSURANCE COMPANY | $694 | — | $694 | 0.02% |
| GEORGE R VIOLAND3 | 1087 PRESIDENTS DRIVE LITITZ, PA 17543 | AMERICAN FIDELITY ASSURANCE COMPANY | $655 | — | $655 | 0.02% |
| MYERS BEAVER & VELLONE INS AGY INC3 | PO BOX 1391 ALTOONA, PA 16603 | AMERICAN FIDELITY ASSURANCE COMPANY | $626 | — | $626 | 0.02% |
| SUPPLEMENTAL BENEFITS SERVICES INC3 Filed as: SUPPLEMENTAL BENEFIT SERVICES INC | PO BOX 927 MECHANICSBURG, PA 17055 | AMERICAN FIDELITY ASSURANCE COMPANY | $555 | — | $555 | 0.02% |
| NJ CAR SERVICES, INC.3 | 856 RIVER ROAD TRENTON, NJ 08628 | AMERICAN FIDELITY ASSURANCE COMPANY | $248 | — | $248 | 0.01% |
| STUART BENEFITS CONSULTING LLC3 | 60 W BROAD STREET #302 BETHLEHEM, PA 18018 | AMERICAN FIDELITY ASSURANCE COMPANY | $139 | — | $139 | 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 | $61 | — | $61 | 0.00% |
| ROCHE FINANCIAL INC3 | 1610 EAST THIRD STREET WILLIAMSPORT, PA 17701 | AMERICAN FIDELITY ASSURANCE COMPANY | $30 | — | $30 | 0.00% |
| WEVODAU INS. & BENEFIT STRATEGIES3 Filed as: WEVODAU INS & BENEFIT STRATEGIES | 600 N FRONT ST WORMLEYSBURG, PA 17043 | AMERICAN FIDELITY ASSURANCE COMPANY | $5 | — | $5 | 0.00% |
| PENN. AUTOMOTIVE ASSOCIATION3 | 1925 NORTH FRONT STREET PO BOX 2955 HARRISBURG, PA 17105 | HM LIFE INSURANCE COMPANY | $12K | — | $12K | 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 | $5K | — | $5K | 5.50% |
| EMERSON REID LLC3 Filed as: EMERSON REID & CO INC | VEVA 16 SUITE 320 1787 SENTRY PKWY W BLUE BELL, PA 19422 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 3.00% |
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 | 4,292 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 28 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,320 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMERICAN FIDELITY ASSURANCE COMPANY | 1,752 | $2.9M |
| Vision | HM LIFE INSURANCE COMPANY | 2,176 | $199K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,239 | $84K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 1,752 | $2.9M |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 1,752 | $2.9M |
| Other(2 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 1,752 | $3.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,176 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.