| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| POWER-KUNKLE GROUP INC3 Filed as: POWER KUNKLE GROUP, INC. | 999 BERKSHIRE BLVD. SUITE 160 P.O. BOX 6243 WYOMISSING, PA 19610 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 4.18% |
| POWER-KUNKLE GROUP INC3 Filed as: POWER KUNKLE GROUP, INC. | PO BOX 6243 WYOMISSING, PA 196100243 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 6.52% |
| STEPHEN G SCHULTZ3 | 264 LEONARD STREET BLOOMSBURG, PA 17815 | AFLAC | $6K | $153 | $6K | 11.38% |
| JAMES ELDER BROOKS3 | 1253 WEST LEESPORT ROAD LEESPORT, PA 19533 | AFLAC | $811 | $0 | $811 | 1.52% |
| JEFFREY CHUBB3 | 520 W 4TH ST STE 1A WILLIAMSPORT, PA 17701 | AFLAC | $715 | $31 | $746 | 1.40% |
| JOSEPH B MCGINTY JR3 | 520 W 4TH ST STE 1A WILLIAMSPORT, PA 17701 | AFLAC | $608 | $31 | $639 | 1.20% |
| STEPHEN D BISSELL3 Filed as: STEPHEN BISSELL | 5465 AMANDA DR LAURYS STATION, PR 18059 | AFLAC | $346 | $0 | $346 | 0.65% |
| JOANNE CRAFT3 | 6086 PELICAN CROSSING DR GONZALEZ, LA 70737 | AFLAC | $282 | $0 | $282 | 0.53% |
| MARK D BARBIER3 | 802 DEER TRAIL LN OAK BROOK, IL 60523 | AFLAC | $188 | $0 | $188 | 0.35% |
| IRENE E BROOKS3 Filed as: IRENE BROOKS | 1253 WEST LEESPORT ROAD LEESPORT, PA 19533 | AFLAC | $169 | $0 | $169 | 0.32% |
| RICHARD W HEUP3 | 1200 BROADCASTING RD STE 205 READING, PA 19610 | AFLAC | $100 | $0 | $100 | 0.19% |
| MATTHEW G BERGER3 | 22 SUNNYRIDGE RD PHILADELPHIA, PA 19125 | AFLAC | $62 | $31 | $93 | 0.17% |
| FRED A REEDER3 | 380 E MAIN STREET LOCK HAVEN, PA 17745 | AFLAC | $62 | $0 | $62 | 0.12% |
| SUSAN J CHUBB3 | 520 W 4TH ST STE 1A WILLIAMSPORT, PA 17701 | AFLAC | $53 | $0 | $53 | 0.10% |
| GARY J BRENNAN II3 | 460 N CLAUDE A LORD BLVD POTTSVILLE, PA 17901 | AFLAC | $48 | $0 | $48 | 0.09% |
| DIANNE L MARTIN3 | 125 MANOR STREET HARRISBURG, PA 17110 | AFLAC | $21 | $0 | $21 | 0.04% |
| C A LUPP INC3 Filed as: CA LUPP INC | 441 FRIENDSHIP RD STE 102 HARRISBURG, PA 17111 | AFLAC | $13 | $0 | $13 | 0.02% |
| BLACK ROK BENEFIT ALLIANCE LLC3 | PO BOX 211 YOUNGWOOD, PA 15697 | AFLAC | $12 | $0 | $12 | 0.02% |
| POWER-KUNKLE GROUP INC3 Filed as: POWER KUNKLE GROUP, INC. | PO BOX 6243 WYOMISSING, PA 196100243 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 10.00% |
| POWER-KUNKLE GROUP INC3 Filed as: POWER KUNKLE GROUP INC. | PO BOX 6243 WYOMISSING, PA 196100243 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 10.29% |
| POWER-KUNKLE GROUP INC3 Filed as: POWER KUNKLE GROUP, INC. | PO BOX 6243 WYOMISSING, PA 196100243 | UNITED OM OMAHA LIFE INSRUANCE COMPANY | $2K | $0 | $2K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK EIN 23-1294723 ADMIN | Claims processing Service code 12 | — | $110K |
| THE SELTZER GROUP BROKER | Insurance agents and brokers Service code 22 | PO BOX 219 610 ROUTE 61 SOUTH ORWIGSBURG, PA 17961 | $38K |
| THE BENECON GROUP EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $28K |
| CONNECTCARE 3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $10K |
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 | 211 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 212 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 124 | $75K |
| Vision | VISION BENEFITS OF AMERICA | 131 | $19K |
| Life insurance | UNITED OM OMAHA LIFE INSRUANCE COMPANY | 211 | $17K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 209 | $68K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 211 | $38K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | EVEREST REINSURANCE COMPANY | 186 | $434K |
| Other(3 contracts, 3 carriers) | AFLAC | 211 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 211 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.