| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES INC. | 74 BROAD STREET SUITE 370 BETHLEHEM, PA 180185738 | CAPITAL ADVANTAGE ASSURANCE COMPANY | $32K | — | $32K | 2.94% |
| BETHANY L ANDERSON3 | PO BOX 3562 ALLENTOWN, PA 18106 | AFLAC | $4K | $141 | $4K | 14.47% |
| WENDY M BOONE3 Filed as: WENDY BOONE | 1901 SEIPSTOWN RD FOGELSVILLE, PA 18051 | AFLAC | $647 | $28 | $675 | 2.61% |
| JOSEPH B MCGINTY JR3 Filed as: JOSEPH B. MCGINTY JR. | 1150 GLENLIVET DRIVE SUITE A13 ALLENTOWN, PA 18106 | AFLAC | $418 | $28 | $446 | 1.72% |
| DENTON E QUICK3 Filed as: DENTON E. QUICK | 2202 WELLINGTON BLVD. WYOMISSING, PA 19610 | AFLAC | $318 | — | $318 | 1.23% |
| JACQUELINE M EBERZ3 Filed as: JACQUELINE M. EBERZ | 98 LAMP POST ROAD NEW BRITAIN, PA 18901 | AFLAC | $149 | — | $149 | 0.58% |
| QUENTIN C KENT3 Filed as: QUENTIN C. KENT | P. O. BOX 3562 ALLENTOWN, PA 18106 | AFLAC | $143 | — | $143 | 0.55% |
| STEPHEN D BISSELL3 Filed as: STEPHEN D. BISSELL | 5465 AMANDA DRIVE LAURYS STATION, PA 18059 | AFLAC | $76 | — | $76 | 0.29% |
| EDWARD F MROWKA JR3 Filed as: EDWARD F. MROWKA JR. | 5106 TIMBER LANE SCHNECKSVILLE, PA 18078 | AFLAC | $53 | — | $53 | 0.20% |
| JUSTIN MHLEY3 | 6 CALLAHAN ST EAST HANOVER, NJ 07936 | AFLAC | $24 | — | $24 | 0.09% |
| KEVIN W KREPINEVICH3 Filed as: KEVIN KREPINEVICH | 3440 LEHIGH ST PMB102 ALLENTOWN, PA 18103 | AFLAC | $19 | — | $19 | 0.07% |
| MATTHEW G BERGER3 | 22 SUNNYRIDGE RD PHILADELPHIA, PA 19125 | AFLAC | $14 | — | $14 | 0.05% |
| MARK D BARBIER3 Filed as: MARK BARBIER | 23 CROYTON LN OAK BROOK, IL 60523 | AFLAC | $11 | — | $11 | 0.04% |
| BETH AMBRUSO3 | 7442 FIRESIDE LN FLOWERY BRANCH, GA 30542 | AFLAC | $11 | — | $11 | 0.04% |
| IRENE E BROOKS3 Filed as: IRENE E. BROOKS | 101 COPPER BEECH LN WOMELSDORF, PA 19567 | AFLAC | $10 | — | $10 | 0.04% |
| JAMES ELDER BROOKS3 | 101 COPPER BEECH LN WOMELSDORF, PA 19567 | AFLAC | $8 | — | $8 | 0.03% |
| DARRIN D. RIDDLE3 | 7850 AVONDALE TER HARRISBURG, PA 17112 | AFLAC | $5 | — | $5 | 0.02% |
| RYAN K GOLDBERG3 | 103 CHURCH STREET #3 PHILADELPHIA, PA 19106 | AFLAC | $4 | — | $4 | 0.02% |
| ANGELA MASSARELLI3 | 30 WATERFRONT WAY HAMMONTON, NJ 30543 | AFLAC | $3 | — | $3 | 0.01% |
| MARTIN E BYSTROM3 | 253 MINORCA BEACH WAY APT 305 NEW SMYRNA BEACH, FL 08037 | AFLAC | $2 | — | $2 | 0.01% |
| DIANNE L MARTIN3 | 125 MANOR ST HARRISBURG, PA 17110 | AFLAC | $1 | — | $1 | 0.00% |
| CHRISTOPHER A LUPP3 | 940 E. PARK DR SUITE 300 HARRISBURG, PA 08037 | AFLAC | $1 | — | $1 | 0.00% |
| BETHANY L ANDERSON3 | PO BOX 3562 ALLENTOWN, PA 18106 | AFLAC | $806 | — | $806 | 11.26% |
| JOSEPH B MCGINTY JR3 Filed as: JOSEPH B. MCGINTY JR. | 1150 GLENLIVET DRIVE SUITE A13 ALLENTOWN, PA 18106 | AFLAC | $174 | — | $174 | 2.43% |
| DENTON E QUICK3 Filed as: DENTON E. QUICK | 2202 WELLINGTON ROAD WYOMISSING, PA 19610 | AFLAC | $123 | — | $123 | 1.72% |
| WENDY M BOONE3 | 1901 SEIPSTOWN RD FOGELSVILLE, PA 18051 | AFLAC | $98 | — | $98 | 1.37% |
| JACQUELINE M EBERZ3 Filed as: JACQUELINE M. EBERZ | 98 LAMP POST ROAD NEW BRITAIN, PA 18901 | AFLAC | $57 | — | $57 | 0.80% |
| QUENTIN C KENT3 Filed as: QUENTIN C. KENT | PO BOX 3562 ALLENTOWN, PA 18106 | AFLAC | $46 | — | $46 | 0.64% |
| BETHANY L ANDERSON3 | PO BOX 3562 ALLENTOWN, PA 18106 | AFLAC | $393 | — | $393 | 12.84% |
| DENTON E QUICK3 Filed as: DENTON E. QUICK | 2202 WELLINGTON BLVD. WYOMISSING, PA 19610 | AFLAC | $77 | — | $77 | 2.52% |
| JOSEPH B MCGINTY JR3 Filed as: JOSEPH B. MCGINTY JR. | 1150 GLENLIVET DRIVE SUITE A13 ALLENTOWN, PA 18106 | AFLAC | $70 | — | $70 | 2.29% |
| WENDY M BOONE3 | 1901 SEIPSTOWN RD FOGELSVILLE, PA 18051 | AFLAC | $50 | — | $50 | 1.63% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 896620 CHARLOTTE, NC 28289 | USABLE LIFE | $448 | — | $448 | 20.01% |
| CONSOLIDATED BENEFITS INC3 Filed as: CONSOLIDATED BENEFITS, INC. | PO BOX 774232 HARRISBURG, PA 17177 | USABLE LIFE | $112 | — | $112 | 5.00% |
| BETHANY L ANDERSON3 | PO BOX 3562 ALLENTOWN, PA 18106 | AFLAC | $76 | — | $76 | 4.90% |
| DENTON E QUICK3 | 2202 WELLINGTON BLVD. WYOMISSING, PA 19610 | AFLAC | $51 | — | $51 | 3.29% |
| JACQUELINE M EBERZ3 Filed as: JACQUELINE M. EBERZ | 98 LAMP POST ROAD NEW BRITAIN, PA 18901 | AFLAC | $23 | — | $23 | 1.48% |
| QUENTIN C KENT3 Filed as: QUENTIN C. KENT | PO BOX 3562 ALLENTOWN, PA 18106 | AFLAC | $19 | — | $19 | 1.23% |
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 | 150 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | 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 |
|---|---|---|---|
| Health (medical) | CAPITAL ADVANTAGE ASSURANCE COMPANY | 165 | $1.1M |
| Dental | CAPITAL ADVANTAGE ASSURANCE COMPANY | 165 | $1.1M |
| Vision | CAPITAL ADVANTAGE ASSURANCE COMPANY | 165 | $1.1M |
| Life insurance | USABLE LIFE | 46 | $2K |
| Short-term disability(4 contracts) | AFLAC | 28 | $38K |
| Prescription drug | CAPITAL ADVANTAGE ASSURANCE COMPANY | 165 | $1.1M |
| Other(5 contracts, 2 carriers) | AFLAC | 46 | $40K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 165 | — |
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.