| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| POWER-KUNKLE GROUP INC3 Filed as: POWER KUNKLE GROUP, INC. | 999 BERKSHIRE BOUELVARD, SUITE 160 WYOMISSING, PA 19610 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 4.18% |
| POWER-KUNKLE GROUP INC3 Filed as: POWER KUNKLE GROUP, INC. | P. O. BOX 6243 WYOMISSING, PA 196100243 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $2K | $7K | 10.15% |
| STEPHEN G SCHULTZ3 Filed as: STEPHEN G. SCHULTZ | 264 LEONARD STREET BLOOMSBURG, PA 17815 | AFLAC | $5K | $37 | $5K | 7.73% |
| JAMES ELDER BROOKS3 | 1253 WEST LEESPORT ROAD LEESPORT, PA 19533 | AFLAC | $839 | — | $839 | 1.38% |
| STEPHEN G SCHULTZ3 Filed as: STEPHEN G. SCHULTZ | 264 LEONARD STREET BLOOMSBURG, PA 17815 | AFLAC | $835 | — | $835 | 1.38% |
| JEFFREY CHUBB3 | 520 W 4TH ST., STE. 1A WILLIAMSPORT, PA 17701 | AFLAC | $693 | $7 | $700 | 1.15% |
| C A LUPP INC3 Filed as: C A LUPP INC. | 940 E. PARK DRIVE, STE. 301 HARRISBURG, PA 17111 | AFLAC | $9 | — | $9 | 0.01% |
| RONALD PUSZ3 Filed as: RONALD W. PUSZ | 18282 TECHNOLOGY DRIVE, SUITE 205 MEADVILLE, PA 16335 | AFLAC | $8 | — | $8 | 0.01% |
| BILLY M CRAIN3 Filed as: BILLY M. CRAIN | 57 PICKERING STREET BROOKVILLE, PA 15825 | AFLAC | $8 | — | $8 | 0.01% |
| MARIO HAIFA3 | 1195 WASHINGTON PIKE, SUITE 300 BRIDGEVILLE, PA 15017 | AFLAC | $5 | — | $5 | 0.01% |
| MG BERGER INC3 Filed as: MG BERGER INC. | 1020 N. DELAWARE AVENUE, SUITE 4 PHILADELPHIA, PA 19125 | AFLAC | $5 | — | $5 | 0.01% |
| DARREN D RIDDLE3 Filed as: DARREN D. RIDDLE | 7850 AVONDALE TER HARRISBURG, PA 17112 | AFLAC | $4 | — | $4 | 0.01% |
| RYAN K GOLDBERG3 Filed as: RYAN K. GOLDBERG | 103 CHURCH STREET #3 PHILADELPHIA, PA 19106 | AFLAC | $3 | — | $3 | 0.00% |
| CHRISTOPHER A LUPP3 Filed as: CHRISTOPHER A. LUPP | 441 FRIENDSHIP ROAD, SUITE 102 HARRISBURG, PA 17111 | AFLAC | $3 | — | $3 | 0.00% |
| ANGELA MASSARELLI3 | 30 WATERFRONT WAY HAMMONTON, NJ 08037 | AFLAC | $2 | — | $2 | 0.00% |
| MARTIN E BYSTROM3 Filed as: MARTIN E. BYSTROM | 333 OVERLOOK LANE GULPH MILLS, PA 19428 | AFLAC | $1 | — | $1 | 0.00% |
| JOY GRUBE PADGELEK3 | 1195 WASHINGTON PIKE, SUITE 300 BRIDGEVILLE, PA 15017 | AFLAC | $1 | — | $1 | 0.00% |
| BRIAN W PATTEN3 Filed as: BRIAN W. PATTEN | 120 MARGUERITE DRIVE, SUITE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $1 | — | $1 | 0.00% |
| JAMES G BRANDT3 Filed as: JAMES G. BRANDT | 47 MARVIN STREET PORT MATILDA, PA 16870 | AFLAC | $1 | — | $1 | 0.00% |
| POWER-KUNKLE GROUP INC3 Filed as: POWER KUNKLE GROUP, INC. | P. O. BOX 6243 WYOMISSING, PA 196100243 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $2K | $7K | 13.62% |
| POWER-KUNKLE GROUP INC3 Filed as: POWER KUNKLE GROUP, INC. | P. O. BOX 6243 WYOMISSING, PA 196100243 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $5K | 13.96% |
| POWER-KUNKLE GROUP INC3 Filed as: POWER KUNKLE GROUP, INC. | P. O. BOX 6243 WYOMISSING, PA 196100243 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $590 | $2K | 13.30% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK EIN 23-1294723 ADMIN | Claims processing Service code 12 | — | $107K |
| POWER KUNKLE GROUP, INC. BROKER | Insurance agents and brokers Service code 22 | 999 BERKSHIRE BOULEVARD, SUITE 160 WYOMISSING, PA 19610 | $45K |
| THE BENECON GROUP EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $30K |
| CONNECTCARE 3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $11K |
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 | 219 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 222 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 127 | $75K |
| Vision | VISION BENEFITS OF AMERICA | 136 | $19K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 219 | $18K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 209 | $67K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 210 | $37K |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE COMPANY | 186 | $492K |
| Other(3 contracts, 2 carriers) | AFLAC | 219 | $128K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 219 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.