| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN INSURANCE ADMINISTRATORS | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | CAPITAL ADVANTAGE INSURANCE COMPANY | $45K | — | $45K | 3.83% |
| AMERICAN INSURANCE ADMINISTRATORS | 4550 LENA DR MECHANICSBURG, PA 17055 | CAPITAL ADVANTAGE ASSURANCE COMPANY | — | — | $0 | 0.00% |
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $21K | — | $21K | 15.00% |
| AMERICAN INSURANCE ADMINISTRATORS | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | UNITED CONCORDIA LIFE & HEALTH INSURANCE COMPANY | $4K | — | $4K | 4.98% |
| DONNA LOUISE JACKOVITZ3 Filed as: DONNA JACKOVITZ | 5471 LOWER MACUNGIE RD EAST TEXAS, PA 18046 | AFLAC | $2K | $97 | $2K | 12.19% |
| DENTON QUICK3 | 2170 READING AVE WEST LAWN, PA 19609 | AFLAC | $519 | $19 | $538 | 3.05% |
| KL GOOD BENEFITS LLC3 | 230 DANIELLE CT YORK, PA 17404 | AFLAC | $321 | $26 | $347 | 1.97% |
| JACQUELINE EBERZ3 | 4949 LIBERTY LN STE 310 ALLENTOWN, PA 18106 | AFLAC | $293 | $20 | $313 | 1.77% |
| DIANNE L MARTIN3 Filed as: DIANNE MARTIN | 125 MANOR ST HARRISBURG, PA 17110 | AFLAC | $69 | $5 | $74 | 0.42% |
| MATTHEW G BERGER3 Filed as: MATTHEW BERGER | 22 SUNNYRIDGE RD PHILADELPHIA, PA 19125 | AFLAC | $43 | $17 | $60 | 0.34% |
| JAMES BROOKS | 1253 WEST LEESPORT RD LEESPORT, PA 19533 | AFLAC | $59 | — | $59 | 0.33% |
| DELMAS R BUTLER JR Filed as: DELMAS BUTLER JR | 46 SOUTH TULPEHOCKEN ST PINE GROVE, PA 17963 | AFLAC | $47 | — | $47 | 0.27% |
| ANTHONY ALMODOVAR3 | 3605 VARTAN WAY STE 304 HARRISBURG, PA 17110 | AFLAC | $29 | $5 | $34 | 0.19% |
| JASON E FERGER Filed as: JASON FERGER | 3706 EAGLEWOOD ST VALRICO, FL 33596 | AFLAC | $25 | — | $25 | 0.14% |
| LYNNE M HARTMAN Filed as: LYNNE HARTMAN | 1841 LINCOLN AVE WYOMISSING, PA 19610 | AFLAC | $23 | — | $23 | 0.13% |
| MARK L HUFHAND | 3313 LEE ST NW NORTH CANTON, OH 44720 | AFLAC | $14 | — | $14 | 0.08% |
| KEVIN W KREPINEVICH Filed as: KEVIN KREPINEVICH | 3440 LEHIGH ST PMB 102 ALLENTOWN, PA 18103 | AFLAC | $13 | — | $13 | 0.07% |
| JOHN B LACARIA Filed as: JOHN LACARIA | 102 JENNIFER LN BRIDGEPORT, WV 26330 | AFLAC | $12 | — | $12 | 0.07% |
| MOLLIE PRICE | 758 CEMETARY RD MUNCY, PA 17756 | AFLAC | $11 | — | $11 | 0.06% |
| DAVID C SWEIGARD Filed as: DAVID SWEIGARD | 2575 E PELLICER RD SAINT AUGUSTINE, FL 32092 | AFLAC | $9 | — | $9 | 0.05% |
| CYNTHIA JAY | 3768 SOUTH EAST DOUBLETON DRIVE STUART, FL 34997 | AFLAC | $8 | — | $8 | 0.05% |
| RANDALL SIMS | 138 DERR DR COLLEGEVILLE, PA 19426 | AFLAC | $8 | — | $8 | 0.05% |
| MAUREEN SUSAN FRIEDMAN Filed as: MAUREEN FRIEDMAN | 8163 LARK ST FOGELSVILLE, PA 18051 | AFLAC | $8 | — | $8 | 0.05% |
| DANIEL R JUDY Filed as: DANIEL JUDY | 231 WALTERS MILL RD SOMERSET, PA 15501 | AFLAC | $5 | — | $5 | 0.03% |
| ROBERT A ANDERSON Filed as: ROBERT ANDERSON | 13710 GENERAL GEARY CT FREDERICKSBURG, VA 22407 | AFLAC | $5 | — | $5 | 0.03% |
| DAVID W RANCK Filed as: DAVID RANCK | PO BOX277 EPHRATA, PA 17522 | AFLAC | $5 | — | $5 | 0.03% |
| STEPHEN D BISSELL Filed as: STEPHEN BISSEL | 5465 AMANDA DR LAURYS STATION, PA 18059 | AFLAC | $3 | — | $3 | 0.02% |
| CHRISTOPHER A LUPP Filed as: CHRISTOPHER LUPP | 441 FRIENDSHIP ROAD SUITE 102 HARRISBURG, PA 17111 | AFLAC | $3 | — | $3 | 0.02% |
| MARK D BARBIER Filed as: MARK BARBIER | 802 DEER TRAIL LN OAK BROOK, IL 60523 | AFLAC | $2 | — | $2 | 0.01% |
| JOSEPH RYNCAVAGE | 140 MAIN STREET KINGSTON, PA 18704 | AFLAC | $2 | — | $2 | 0.01% |
| AMERICAN INSURANCE ADMINISTRATORS | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | CAPITAL ADVANTAGE INSURANCE COMPANY | — | — | $0 | 0.00% |
| AMERICAN INSURANCE ADMINISTRATORS | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
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 | 218 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 218 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA LIFE & HEALTH INSURANCE COMPANY | 218 | $74K |
| Vision | CAPITAL ADVANTAGE INSURANCE COMPANY | 125 | $11K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 218 | $9K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 146 | $143K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 146 | $143K |
| Prescription drug | CAPITAL ADVANTAGE ASSURANCE COMPANY | 182 | $347K |
| Other | AFLAC | 21 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 218 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.