| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDWARD F MROWKA JR3 Filed as: EDWARD MROWKA JR | 5106 TIMBER LANE SCHNECKSVILLE, PA 18078 | AFLAC | $130 | — | $130 | 6.50% |
| KYMBERLY G KNOTT3 Filed as: KYMBERLY KNOTT | 24040 GREEN GARDENS CT EUSTIS, FL 32736 | AFLAC | $26 | — | $26 | 1.30% |
| DELMAS R BUTLER JR3 Filed as: DELMAS BUTLER JR | 46 S TULPEHOCKEN ST PINE GROVE, PA 17963 | AFLAC | $20 | — | $20 | 1.00% |
| WILLIAM M KNOTT3 Filed as: WILLIAM KNOTT | 24040 GREEN GARDENS CT EUSTIS, FL 32736 | AFLAC | $13 | — | $13 | 0.65% |
| JAMES BROOKS3 | 101 COPPER BEECH LN WOMELSDORF, PA 19567 | AFLAC | $10 | — | $10 | 0.50% |
| JOHN B LACARIA3 Filed as: JOHN LACARIA | 102 JENNIFER LANE BRIDGEPORT, WV 26330 | AFLAC | $6 | — | $6 | 0.30% |
| STEPHEN D BISSELL3 Filed as: STEPHEN BISSELL | 5465 AMANDA DR LAURYS STATION, PA 18059 | AFLAC | $4 | — | $4 | 0.20% |
| ZORN BENEFITS GROUP LLC3 | 60 US HIGHWAY 46 AFLAC OFFICE FAIRFIELD, NJ 07004 | AFLAC | $2 | — | $2 | 0.10% |
| DANIEL R JUDY3 Filed as: DANIEL JUDY | 231 WALTERS MILL RD SOMERSET, PA 15501 | AFLAC | $2 | — | $2 | 0.10% |
| RANDALL SIMS3 Filed as: RANDALL SIMMS | 138 DERR DR COLLEGEVILLE, PA 19426 | AFLAC | $2 | — | $2 | 0.10% |
| IRENE E BROOKS3 Filed as: IRENE BROOKS | 101 COPPER BEECH LN WOMELSDORF, PA 19567 | AFLAC | $2 | — | $2 | 0.10% |
| JACQUELINE EBERZ3 | 98 LAMP POST ROAD NEW BRITAIN, PA 18901 | AFLAC | $1 | — | $1 | 0.05% |
| MICHAEL FORNARO3 | 271 US HIGHWAY 46 SUITE H119 FAIRFIELD, NJ 07004 | AFLAC | $1 | — | $1 | 0.05% |
| MARK D BARBIER3 Filed as: MARK BARBIER | 802 DEER TRAIL LANE OAK BROOK, IL 60523 | AFLAC | $1 | — | $1 | 0.05% |
| DAVID W RANCK3 Filed as: DAVID RANCK | 848 EAST MAIN STREET SUITE 800 EPHRATA, PA 17522 | AFLAC | $1 | — | $1 | 0.05% |
| DARREN RIDDLE3 | 7850 AVONDALE TER HARRISBURG, PA 17112 | AFLAC | $1 | — | $1 | 0.05% |
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 | 165 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 170 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK INC. | 222 | $1.3M |
| Vision | NATIONAL VISION ADMINISTRATORS, L.L.C. | 278 | $9K |
| Life insurance | STANDARD INSURANCE COMPANY | 137 | $50K |
| Short-term disability | STANDARD INSURANCE COMPANY | 137 | $50K |
| Long-term disability | STANDARD INSURANCE COMPANY | 137 | $50K |
| Prescription drug | HIGHMARK INC. | 222 | $1.3M |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 165 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 278 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
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.