| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEPHEN D BISSELL3 Filed as: STEPHEN D. BISSELL | 5465 AMANDA DRIVE LAURYS STATION, PA 18059 | AFLAC | $6K | $442 | $6K | 5.92% |
| CONSTANCE A TREIBLE3 | 128 WILLIAMS ROAD CRESCO, PA 18326 | AFLAC | $5K | $215 | $5K | 5.06% |
| BONCHER BENEFITS, INC.3 Filed as: BONCHER BENEFITS | 288 COLD SPRING DRIVE JIM THORPE, PA 18229 | AFLAC | $5K | $202 | $5K | 4.88% |
| JEFFREY CHUBB3 | 520 W. 4TH ST. SUITE 1A WILLIAMSPORT, PA 17701 | AFLAC | $2K | $143 | $2K | 1.80% |
| WILSON H TRANSUE3 Filed as: WILSON TRANSUE | 1487 SULLIVAN TRAIL TANNERSVILLE, PA 18372 | AFLAC | $349 | — | $349 | 0.33% |
| JOSEPH P CALARCO3 Filed as: JOSEPH CALARCO | 63 GENESEE ST, SUITE 2 AUBURN, NY 13021 | AFLAC | $229 | — | $229 | 0.21% |
| DOUGLAS R. BORLAND3 | 919 SCOTT STREET WILKES BARRE, PA 18705 | AFLAC | $201 | — | $201 | 0.19% |
| FRED A REEDER3 Filed as: FRED A. REEDER | 380 E. MAIN STREET LOCK HAVEN, PA 17745 | AFLAC | $168 | — | $168 | 0.16% |
| C A LUPP INC3 Filed as: C A LUPP, INC. | 441 FRIENDSHIP ROAD SUITE 102 HARRISBURG, PA 17111 | AFLAC | $164 | — | $164 | 0.15% |
| MATTHEW G BERGER3 Filed as: MATTHEW G. BERGER | 22 SUNNYRIDGE ROAD PHILADELPHIA, PA 19125 | AFLAC | $162 | — | $162 | 0.15% |
| JOSEPH G GRABLICK3 Filed as: JOSEPH G. GRABLICK | 716 SUSQUEHANNA AVE. WYOMING, PA 18644 | AFLAC | $149 | — | $149 | 0.14% |
| ALEXANDER BATISTA3 | 1 KINGS AVE. EASTON, PA 18045 | AFLAC | $108 | — | $108 | 0.10% |
| BLACK ROK BENEFIT ALLIANCE LLC3 Filed as: BLACK ROK BENEFIT ALLIANCE, LLC | PO BOX 211 YOUNGWOOD, PA 15697 | AFLAC | $88 | — | $88 | 0.08% |
| DAVID CALBY3 | 10 HINDS STREET MONTROSE, PA 18801 | AFLAC | $86 | — | $86 | 0.08% |
| KARI M LAZARO3 Filed as: KARI LAZARO | 116 N VELLEVUE AVENUE, UNIT 2 LANGHORNE, PA 19047 | AFLAC | $83 | — | $83 | 0.08% |
| DAVID W RANCK3 Filed as: DAVID W. RANCK | PO BOX 277 EPHRATA, PA 17522 | AFLAC | $83 | — | $83 | 0.08% |
| KEITH LOWTHERT3 | 1699 WYOMING AVE. FORTY FORT, PA 18704 | AFLAC | $73 | — | $73 | 0.07% |
| SEAN T JUDGE3 Filed as: SEAN T. JUDGE | 95 POPLAR STREET KINGSTON, PA 18704 | AFLAC | $52 | — | $52 | 0.05% |
| DIANNE L MARTIN3 Filed as: DIANNE L. MARTIN | 125 MANOR STREET HARRISBURG, PA 17110 | AFLAC | $47 | — | $47 | 0.04% |
| KENT E FOSTER3 Filed as: KENT E. FOSTER | 3527 US HIGHWAY 52 DECORAH, IA 52101 | AFLAC | $47 | — | $47 | 0.04% |
| DARREN D RIDDLE3 Filed as: DARREN D. RIDDLE | 7850 AVONDALE TER. HARRISBURG, PA 17112 | AFLAC | $45 | — | $45 | 0.04% |
| RANDALL SIMS3 | 138 DERR DRIVE COLLEGEVILLE, PA 19426 | AFLAC | $37 | — | $37 | 0.03% |
| JILL SHINN3 | 612 APPLETON COURT KENNETT SQUARE, PA 19348 | AFLAC | $36 | — | $36 | 0.03% |
| JOHN M WASHO3 Filed as: JOHN M. WASHHO | 106 CEDAR BLUFF CT. ALEDO, TX 76008 | AFLAC | $35 | — | $35 | 0.03% |
| JOSEPH RYNCAVAGE3 | 140 MAIN STREET KINGSTON, PA 18704 | AFLAC | $33 | — | $33 | 0.03% |
| DEBRA PIERCE3 | 2108 SLOCUM ROAD MOUNTAIN TOP, PA 18707 | AFLAC | $32 | — | $32 | 0.03% |
| MARK D BARBIER3 Filed as: MARK D. BARBIER | 802 DEER TRAIL LANE OAK BROOK, IL 60523 | AFLAC | $29 | — | $29 | 0.03% |
| IRENE E BROOKS3 Filed as: IRENE E. BROOKS | 833 NORTH PARK ROAD SUITE 220 READING, PA 19610 | AFLAC | $26 | — | $26 | 0.02% |
| ANGELA MASSARELLI3 | 30 WATERFRONT WAY HAMMONTON, NJ 08037 | AFLAC | $25 | — | $25 | 0.02% |
| MATTHEW T O'HANLON3 Filed as: MATTHEW O'HANLON | 100 WEST ELM STREET, SUITE 101 CONSHOHOCKEN, PA 19428 | AFLAC | $24 | — | $24 | 0.02% |
| RYAN K GOLDBERG3 Filed as: RYAN K. GOLDBERG | 103 CHURCH ST. #3 PHILADELPHIA, PA 19106 | AFLAC | $24 | — | $24 | 0.02% |
| JAMES ZARODA3 | 24 INDEPENDENCE ROAD MOUNTAIN TOP, PA 18707 | AFLAC | $22 | — | $22 | 0.02% |
| CHRISTOPHER A LUPP3 Filed as: CHRISTOPHER A. LUPP | 441 FRIENDSHIP RD. SUITE 102 HARRISBURG, PA 17111 | AFLAC | $19 | — | $19 | 0.02% |
| MARTIN E BYSTROM3 Filed as: MARTIN E. BYSTROM | 333 OVERLOOK LANE GULPH MILLS, PA 19428 | AFLAC | $16 | — | $16 | 0.01% |
| ERIC R MACDOUGALL3 Filed as: ERIC MACDOUGALL | 1 NESHAMINY INTERPLEX DRIVE SUITE 101 TREVOSE, PA 19053 | AFLAC | $16 | — | $16 | 0.01% |
| LISA A BROMAGE3 Filed as: LISA A. BROMAGE | 157 SPRING STREET SCRANTON, PA 18508 | AFLAC | $13 | — | $13 | 0.01% |
| PETER R. TREIBLE3 | 128 WILLIAMS ROAD CRESCO, PA 18326 | AFLAC | $11 | — | $11 | 0.01% |
| NORTH EAST EMPIRE INC3 Filed as: NORTH EAST EMPIRE, INC. | 8 W. BROAD ST. SUITE 720 HAZELTON, PA 18201 | AFLAC | $6 | — | $6 | 0.01% |
| WILLIAM M KNOTT3 Filed as: WILLIAM M. KNOTT | 24040 GREEN GARDENS CT. EUSTIS, FL 32736 | AFLAC | $4 | — | $4 | 0.00% |
| DANIEL R JUDY3 Filed as: DANIEL R. JUDY | 231 WALTERS MILL ROAD SOMERSET, PA 15501 | AFLAC | $2 | — | $2 | 0.00% |
| STEPHEN D BISSELL3 | 5465 AMANDA DRIVE LAURYS STATION, PA 18059 | TLIC | $3K | — | $3K | 16.99% |
| TINA BONCHER3 Filed as: TINA M BONCHER | 288 COLD SPRING DRIVE JIM THORPE, PA 18229 | TLIC | $3K | — | $3K | 16.99% |
| ADVANCED BENEFIT SYSTEM INC3 Filed as: ADVANCED BENEFITS COMMUNICATION | ONE BELMONT AVENUE, SUITE 304 BALA CYNWYD, PA 19004 | TLIC | $1K | — | $1K | 5.99% |
| GAIL R BERGER3 | 118 TOWER HILL DRIVE RED BANK, NJ 07701 | TLIC | $543 | — | $543 | 2.66% |
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 | 155 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 155 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AFLAC | 155 | $107K |
| Vision | AFLAC | 155 | $107K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 155 | $127K |
| Short-term disability | AFLAC | 155 | $107K |
| Other | AFLAC | 155 | $107K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 155 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.