| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | CAPITAL ADVANTAGE ASSURANCE COMPANY | $45K | — | $45K | 2.77% |
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE 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 | $16K | — | $16K | 15.00% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $638 | $638 | 0.61% |
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | UNITED CONCORDIA INSURANCE COMPANY | $4K | $0 | $4K | 5.00% |
| DONNA LOUISE JACKOVITZ3 Filed as: DONNA JACKOVITZ | 913 BARBARA DRIVE COPLAY, PA 18037 | AFLAC | $5K | $51 | $5K | 12.18% |
| WENDY M BOONE3 Filed as: WENDY BOONE | 1901 SEIPSTOWN ROAD FOGELSVILLE, PA 18051 | AFLAC | $1K | $12 | $1K | 3.31% |
| JOSEPH B MCGINTY JR3 Filed as: JOSEPH MCGINTY JR | 2202 GROSS CREEK ROAD MACUNGIE, PA 18062 | AFLAC | $595 | — | $595 | 1.43% |
| DENTON QUICK3 | 2202 WELLINGTON BLV WYOMISSING, PA 19610 | AFLAC | $225 | — | $225 | 0.54% |
| JOSEPH B MCGINTY JR3 Filed as: JOSEPH MCGINTY JR | 1150 GLENLIVET DRIVE SUITE A13 ALLENTOWN, PA 18106 | AFLAC | $192 | $12 | $204 | 0.49% |
| KL GOOD BENEFITS LLC3 | 230 DANIELLE COURT YORK, PA 17404 | AFLAC | $186 | — | $186 | 0.45% |
| JACQUELINE EBERZ3 | 98 LAMP POST ROAD NEW BRITAIN, PA 18901 | AFLAC | $85 | — | $85 | 0.20% |
| JAMES BROOKS3 | 101 COPPER BEACH LANE WOMELSDORF, PA 19567 | AFLAC | $38 | — | $38 | 0.09% |
| JUSTIN P ABRAHAM3 Filed as: JUSTIN ABRAHAM | 3841 HIGHPOINT DRIVE ALLENTOWN, PA 18103 | AFLAC | $34 | — | $34 | 0.08% |
| DIANNE L MARTIN3 Filed as: DIANNE MARTIN | 3605 VARTAN WAY HARRISBURG, PA 17110 | AFLAC | $28 | — | $28 | 0.07% |
| DELMAS R BUTLER JR3 Filed as: DELMAS BUTLER JR | 46 S TULPEHOCKEN STREET PINE GROVE, PA 17963 | AFLAC | $21 | — | $21 | 0.05% |
| LYNNE M HARTMAN3 Filed as: LYNNE HARTMAN | 1435 MUSEUM ROAD READING, PA 19610 | AFLAC | $20 | — | $20 | 0.05% |
| JASON E FERGER3 Filed as: JASON FERGER | 3706 EAGLEWOOD STREET VALRICO, FL 33596 | AFLAC | $16 | — | $16 | 0.04% |
| CHRISTOPHER A LUPP3 Filed as: CHRISTOPHER LUPP | 5010 E TRINDLE ROAD SUITE 201 MECHANICSBURG, PA 17050 | AFLAC | $11 | — | $11 | 0.03% |
| JOHN B LACARIA3 Filed as: JOHN LACARIA | 102 JENNIFER LANE BRIDGEPORT, WV 26330 | AFLAC | $10 | — | $10 | 0.02% |
| ANTHONY ALMODOVAR3 | 3605 VARTAN WAY SUITE 304 HARRISBURG, PA 17110 | AFLAC | $10 | — | $10 | 0.02% |
| DARREN RIDDLE3 | 7850 AVONDALE TER HARRISBURG, PA 17122 | AFLAC | $10 | — | $10 | 0.02% |
| DAVID C SWEIGARD3 Filed as: DAVID SWEIGARD | 2603 PELLICER ROAD SAINT AUGUSTINE, FL 32092 | AFLAC | $9 | — | $9 | 0.02% |
| CYNTHIA JAY3 | 3768 SE DOUBLETON DRIVE STUART, FL 32092 | AFLAC | $8 | — | $8 | 0.02% |
| MAUREEN SUSAN FRIEDMAN3 | 8163 LARK STREET FOGELSVILLE, PA 18051 | AFLAC | $7 | — | $7 | 0.02% |
| ROBERT A ANDERSON3 Filed as: ROBERT ANDERSON | 13710 GENERAL GEARY COURT FREDERICKSBURG, VA 22407 | AFLAC | $5 | — | $5 | 0.01% |
| DAVID W RANCK3 Filed as: DAVID RANCK | 848 E MAIN STREET SUITE 800 EPHRATA, PA 17522 | AFLAC | $5 | — | $5 | 0.01% |
| DANIEL R JUDY3 Filed as: DANIEL JUDY | 231 WALTERS MILL ROAD SOMERSET, PA 15501 | AFLAC | $5 | — | $5 | 0.01% |
| MATTHEW G BERGER3 Filed as: MATTHEW BERGER | 22 SUNNYRIDGE ROAD PHILADELPHIA, PA 19125 | AFLAC | $3 | — | $3 | 0.01% |
| STEPHEN D BISSELL3 Filed as: STEPHEN BISSELL | 5465 AMANDA DRIVE LAURYS STATION, PA 18059 | AFLAC | $3 | — | $3 | 0.01% |
| IRENE E BROOKS3 Filed as: IRENE BROOKS | 101 COPPER BEACH LANE WOMELSDORF, PA 19567 | AFLAC | $2 | — | $2 | 0.00% |
| RANDALL SIMS3 | 138 DERR DRIVE COLLEGEVILLE, PA 19426 | AFLAC | $2 | — | $2 | 0.00% |
| ANGELA MASSARELLI3 | 30 WATERFRONT WAY HAMMONTON, NJ 08037 | AFLAC | $1 | — | $1 | 0.00% |
| RYAN GOLDBERG3 | 103 CHURCH STREET #3 PHILADELPHIA, PA 19106 | AFLAC | $1 | — | $1 | 0.00% |
| MARTIN E BYSTROM3 Filed as: MARTIN BYSTROM | 253 MINORCA BEACH WAY APT 305 NEW SMYRNA BEACH, FL 32169 | AFLAC | $1 | — | $1 | 0.00% |
| MARK D BARBIER3 | 23 CROYDON LANE OAK BROOK, IL 60523 | AFLAC | $1 | — | $1 | 0.00% |
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $123 | $123 | 0.57% |
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $69 | $69 | 0.60% |
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $53 | $53 | 0.59% |
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | CAPITAL ADVANTAGE ASSURANCE COMPANY | — | — | $0 | 0.00% |
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 | 192 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 192 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 218 | $79K |
| Vision | CAPITAL ADVANTAGE ASSURANCE COMPANY | 199 | $8K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 192 | $9K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 75 | $105K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 44 | $22K |
| Prescription drug | CAPITAL ADVANTAGE ASSURANCE COMPANY | 235 | $425K |
| Other(2 contracts, 2 carriers) | AFLAC | 69 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 235 | — |
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.