| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EMERSON REID LLC3 Filed as: EMERSON REID, LLC | 100 PINEWOOD LANE, SUITE 301 WARRENDALE, PA 15086 | HIGHMARK, INC. | $17K | $0 | $17K | 1.34% |
| MICHAEL PONTIOUS3 | 424 WILLIAM STREET WILLIAMSPORT, PA 17701 | HIGHMARK, INC. | $16K | $0 | $16K | 1.29% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61007 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | $5K | $15K | 22.93% |
| USI INSURANCE SERVICES LLC3 | 200 SUMMIT LAKE DRIVE, SUITE 350 VALHALLA, NY 10595 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $1K | $4K | 8.49% |
| USI INSURANCE SERVICES LLC3 | 1215 MANOR DRIVE MECHANICSBURG, PA 17055 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $7 | $2K | 6.47% |
| BENECHOICE ENROLLMENT SOLUTIONS3 | 1574 LITIZ PIKE LANCASTER, PA 17601 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $866 | $180 | $1K | 3.66% |
| CASEY H EBBERT3 Filed as: CASEY H. EBBERT | 465 LOCUST RUN DRIVE YORK, PA 17404 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $871 | $0 | $871 | 3.04% |
| ENGLE-HAMBRIGHT & DAVIES, INC.3 Filed as: ENGLE-HAMBRIGH DAVIES, INC. | PO BO 11600 LANCASTER, PA 17605 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $604 | $0 | $604 | 2.11% |
| PETRINA SKILES3 | 1574 LITITZ PIKE LANCASTER, PA 17601 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $471 | $110 | $581 | 2.03% |
| ERC OF NY, INC.3 Filed as: ERC OF NY | 400 POST AVENUE, SUITE 210 WESTBURY, NY 11590 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $499 | $0 | $499 | 1.74% |
| MJ INSURANCE3 Filed as: LANCE A. BRADLEY AND VARIOUS AGENTS | 2028 MOUNT VERNON CIRCLE HARRISBURG, PA 17110 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $251 | $0 | $251 | 0.88% |
| USI INSURANCE SERVICES LLC3 | 424 WILLIAM STREET WILLIAMSPORT, PA 17701 | VISION BENEFITS OF AMERICA | $294 | $0 | $294 | 4.21% |
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 | 100 | 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) | 100 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK, INC. | 130 | $1.3M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 76 | $50K |
| Vision | VISION BENEFITS OF AMERICA | 87 | $7K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 100 | $93K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 27 | $29K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 100 | $65K |
| Prescription drug | HIGHMARK, INC. | 130 | $1.3M |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 100 | $93K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 130 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.