| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS GEN AGCY | 400 BERWYN PARK STE 200 BERWYN, PA 19312 | INDEPENDENCE BLUE CROSS | $57K | — | $57K | 2.79% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS GEN AGCY | 400 BERWYN PARK STE 200 BERWYN, PA 19312 | UNITED CONCORDIA INSURANCE COMPANY | $9K | — | $9K | 12.95% |
| THOMAS B DAVIS3 Filed as: THOMAS DAVIS | 835 ROSEHILL DR KING OF PRUSSIA, PA 19406 | AFLAC | $3K | — | $3K | 3.91% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SE STE1950 ATLANTA, GA 30339 | AFLAC | $1K | — | $1K | 1.99% |
| DONALD J CONTROY JR3 Filed as: DONALD CONTROY JR | 2 FAIRWAY DR WARMINSTER, PA 18974 | AFLAC | $791 | — | $791 | 1.19% |
| CONLON AND ASSOCIATES LLC3 | PO BOX 402 BRIDGEPORT, PA 19405 | AFLAC | $445 | — | $445 | 0.67% |
| MICHELE L BOGRETTE3 Filed as: MICHELE BOGRETTE | 109 BELLE VISTA CT WINSTON SALEM, NC 27106 | AFLAC | $361 | — | $361 | 0.54% |
| MICHAEL HECHT3 | 3301 ELLINGTON LN PHOENIXVILLE, PA 19460 | AFLAC | $359 | — | $359 | 0.54% |
| MAIN LINE BENEFIT SOLUTIONS LLC3 | 1405 LARKSPUR LN MALVERN, PA 19355 | AFLAC | $349 | — | $349 | 0.53% |
| ACRISURE LLC3 Filed as: ACRISURE WALLSTREET PARTNERS LLC | 158 PRINTERS LN NEW LONDON, NC 28127 | AFLAC | $282 | — | $282 | 0.42% |
| ERIC R MACDOUGALL3 | 5904 MARGARETS WAY NEW HOPE, PA 18938 | AFLAC | $236 | — | $236 | 0.36% |
| NANCY AMICON3 | 301 DEERHAVEN WAY GLENMOORE, PA 19343 | AFLAC | $225 | — | $225 | 0.34% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENE GEN AGY LLC | 899 CASSATT RD STE 200 BERWYN, PA 19312 | AFLAC | $214 | — | $214 | 0.32% |
| MATTHEW G BERGER3 | 22 SUNNYRIDGE RD PHILADELPHIA, PA 19125 | AFLAC | $131 | — | $131 | 0.20% |
| BONNIE DROBNES3 | 118 BEAUMONT PL LOWER GWYNEDD, PA 19002 | AFLAC | $120 | — | $120 | 0.18% |
| ROBERT VESTAL3 | PO BOX 1240 DELAND, FL 32721 | AFLAC | $117 | — | $117 | 0.18% |
| BRADLEY S JONES3 Filed as: BRADLEY JONES | 19 BRITISH AMERICAN BLVD W LATHAM, NY 12110 | AFLAC | $115 | — | $115 | 0.17% |
| TIMOTHY J GOULET3 Filed as: TIMOTHY GOULET | PO BOX 5488 NAVARRE, FL 32566 | AFLAC | $100 | — | $100 | 0.15% |
| ANDREW J JUNIKIEWICZ JR3 Filed as: ANDREW JUNIKIEWICZ JR | 22 BROOK HOLLOW DR SINKING SPRING, PA 19608 | AFLAC | $95 | — | $95 | 0.14% |
| CYNTHIA MUELLER3 | 3295 BURNS DR THE VILLAGES, FL 32163 | AFLAC | $67 | — | $67 | 0.10% |
| JAMES M MCELDERRY3 Filed as: JAMES MCELDERRY | 16 W 11TH ST APT D28 OCEAN CITY, NJ 08226 | AFLAC | $62 | — | $62 | 0.09% |
| JOHN J FERRANTE3 Filed as: JOHN FERRANTE | 4911 EDGEWOOD RD DOYLESTOWN, PA 18902 | AFLAC | $60 | — | $60 | 0.09% |
| JOANN HARTSOCK3 | 16 ROBYN LN DOYLESTOWN, PA 18901 | AFLAC | $44 | — | $44 | 0.07% |
| ANGELA MASSARELLI3 | 30 WATERFRONT WAY HAMMONTON, NJ 08037 | AFLAC | $28 | — | $28 | 0.04% |
| NANCY L CREW3 Filed as: NANCY CREW | 106 WOODLYN AVE APT 3 GLENSIDE, PA 19038 | AFLAC | $22 | — | $22 | 0.03% |
| MARTIN E BYSTROM3 Filed as: MARTIN BYSTROM | 253 MINORCA BEACH WAY APT 305 NEW SMYRNA BEACH, FL 32169 | AFLAC | $22 | — | $22 | 0.03% |
| RYAN GOLDBERG3 | 103 CHURCH ST #3 PHILADELPHIA, PA 19106 | AFLAC | $17 | — | $17 | 0.03% |
| ERIC R MACDOUGALL3 Filed as: ERIC MACDOUGALL & ASSOC INC | 5904 MARGARETS WAY NEW HOPE, PA 18938 | AFLAC | $14 | — | $14 | 0.02% |
| DARREN RIDDLE3 | 7850 AVONDALE TER HARRISBURG, PA 17112 | AFLAC | $14 | — | $14 | 0.02% |
| MARY KAYE WASHO3 Filed as: MARY WASHO | 24956 WOLF BAY TER ORANGE BEACH, AL 36561 | AFLAC | $12 | — | $12 | 0.02% |
| DEBORAH POPPERT3 | 1167 W BALTIMORE PIKE 239 MEDIA, PA 19063 | AFLAC | $11 | — | $11 | 0.02% |
| CAROLYN E MORRISON3 Filed as: CAROLYN MORRISON | 118 WOODSIDE RD LEXINGTON, SC 29072 | AFLAC | $8 | — | $8 | 0.01% |
| JAMES M PITZ3 Filed as: JAMES PITZ | 84 MINK DR CATAULA, GA 31804 | AFLAC | $6 | — | $6 | 0.01% |
| LAURIE SMITH3 | 577 TRUESDALE HILL RD LAKE GEORGE, NY 12845 | AFLAC | $3 | — | $3 | 0.00% |
| CARSON C PURIEFOY JR3 Filed as: CARSON PURIEFOY JR | PO BOX 301 WENONAH, NJ 08090 | AFLAC | $2 | — | $2 | 0.00% |
| SEAN G HIGGINS3 Filed as: SEAN HIGGINS | 1405 LARKSPUR LN MALVERN, PA 19355 | AFLAC | $1 | — | $1 | 0.00% |
| KISTLER TIFFANY BENEFITS3 Filed as: KISTLER TIFFANY BENEFITS GEN AGCY | 400 BERWYN PARK STE200 BERWYN, PA 19312 | GUARDIAN | $6K | $2K | $8K | 13.72% |
| AMERIHEALTH ADMINISTRATORS INC3 | PO BOX 21545 EAGAN, MN 55121 | GUARDIAN | $1K | — | $1K | 2.01% |
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 | 111 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | INDEPENDENCE BLUE CROSS | 90 | $2.0M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 92 | $68K |
| Life insurance | GUARDIAN | 111 | $62K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 111 | $128K |
| Long-term disability | GUARDIAN | 111 | $62K |
| Prescription drug | INDEPENDENCE BLUE CROSS | 90 | $2.0M |
| Other | AFLAC | 52 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 111 | — |
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."
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.