| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HARDING-YOST INSURANCE ASSOCIATES3 Filed as: HARDING-YOST | 352 MAIN STREET DENVER, PA 17517 | CAPITAL ADVANTAGE ASSURANCE COMPANY | $2K | $0 | $2K | 3.05% |
| POWER-KUNKLE GROUP INC3 Filed as: POWER KUNKLE GROUP, INC. | P.O. BOX 6243 WYOMISSING, PA 19610 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $2K | $4K | 16.51% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SERVICES L | 501 OFFICE CENTER DR STE 215 FT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $519 | $519 | 2.17% |
| POWER-KUNKLE GROUP INC3 Filed as: POWER KUNKLE GROUP, INC. | P.O. BOX 6243 WYOMISSING, PA 19610 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $1K | $3K | 16.74% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SERVICES L | 501 OFFICE CENTER DR STE 215 FT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $350 | $350 | 2.25% |
| POWER-KUNKLE GROUP INC3 Filed as: POWER KUNKLE GROUP, INC. | — | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $1K | $2K | 17.54% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SERVICES L | 501 OFFICE CENTER DR STE 215 FT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $353 | $353 | 2.51% |
| POWER-KUNKLE GROUP INC3 Filed as: POWER KUNKLE GROUP, INC. | P.O. BOX 6243 WYOMISSING, PA 19610 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $661 | $2K | 16.50% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SERVICES L | 501 OFFICE CENTER DR STE 215 FT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $220 | $220 | 2.16% |
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 | 127 | 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) | 128 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CAPITAL ADVANTAGE ASSURANCE COMPANY | 183 | $59K |
| Vision | CAPITAL ADVANTAGE ASSURANCE COMPANY | 183 | $59K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 127 | $10K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 92 | $16K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 127 | $24K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 127 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 183 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.