| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES INC. | 300 SUMMERS STREET STE 650 CHARLESTON, WV 25301 | HIGHMARK INC. | $35K | — | $35K | 3.80% |
| BETHANY L ANDERSON3 | PO BOX 3562 ALLENTOWN, PA 18106 | AFLAC | $4K | $195 | $4K | 13.55% |
| WENDY M BOONE3 Filed as: WENDY BOONE | 1901 SEIPSTOWN RD FOGELSVILLE, PA 18051 | AFLAC | $891 | $46 | $937 | 2.88% |
| JOSEPH B MCGINTY JR3 Filed as: JOSEPH B. MCGINTY JR. | 1150 GLENLIVET DRIVE SUITE A13 ALLENTOWN, PA 18106 | AFLAC | $611 | $46 | $657 | 2.02% |
| DENTON E QUICK3 Filed as: DENTON E. QUICK | 2202 WELLINGTON BLVD. WYOMISSING, PA 19610 | AFLAC | $309 | — | $309 | 0.95% |
| JACQUELINE M EBERZ3 Filed as: JACQUELINE M. EBERZ | 98 LAMP POST ROAD NEW BRITAIN, PA 18901 | AFLAC | $145 | — | $145 | 0.45% |
| QUENTIN C KENT3 Filed as: QUENTIN C. KENT | P. O. BOX 3562 ALLENTOWN, PA 18106 | AFLAC | $142 | — | $142 | 0.44% |
| EDWARD F MROWKA JR3 Filed as: EDWARD F. MROWKA JR. | 5106 TIMBER LANE SCHNECKSVILLE, PA 18078 | AFLAC | $58 | — | $58 | 0.18% |
| STEPHEN D BISSELL3 Filed as: STEPHEN D. BISSELL | 5465 AMANDA DRIVE LAURYS STATION, PA 18059 | AFLAC | $56 | — | $56 | 0.17% |
| KEVIN W KREPINEVICH3 | 4091 E TEXAS RD ALLENTOWN, PA 18103 | AFLAC | $21 | — | $21 | 0.06% |
| MATTHEW G BERGER3 | 22 SUNNYRIDGE RD PHILADELPHIA, PA 19125 | AFLAC | $15 | — | $15 | 0.05% |
| MARK D BARBIER3 Filed as: MARK BARBIER | 23 CROYTON LN OAK BROOK, IL 60523 | AFLAC | $11 | — | $11 | 0.03% |
| JAMES ELDER BROOKS3 | 101 COPPER BEECH LN WOMELSDORF, PA 19567 | AFLAC | $9 | — | $9 | 0.03% |
| IRENE E BROOKS3 Filed as: IRENE E. BROOKS | 101 COPPER BEECH LN WOMELSDORF, PA 19567 | AFLAC | $8 | — | $8 | 0.02% |
| BETH AMBRUSO3 | 13741 88TH AVE SEMINOLE, FL 33776 | AFLAC | $6 | — | $6 | 0.02% |
| 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 | 0.01% |
| ANGELA MASSARELLI3 | 30 WATERFRONT WAY HAMMONTON, NJ 30543 | AFLAC | $4 | — | $4 | 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 | $615 | $46 | $661 | 10.53% |
| WENDY M BOONE3 | 1901 SEIPSTOWN RD FOGELSVILLE, PA 18051 | AFLAC | $108 | $11 | $119 | 1.90% |
| DENTON E QUICK3 Filed as: DENTON E. QUICK | 2202 WELLINGTON ROAD WYOMISSING, PA 19610 | AFLAC | $118 | — | $118 | 1.88% |
| JOSEPH B MCGINTY JR3 Filed as: JOSEPH B. MCGINTY JR. | 1150 GLENLIVET DRIVE SUITE A13 ALLENTOWN, PA 18106 | AFLAC | $93 | $11 | $104 | 1.66% |
| JACQUELINE M EBERZ3 | 98 LAMP POST ROAD NEW BRITAIN, PA 18901 | AFLAC | $55 | — | $55 | 0.88% |
| QUENTIN C KENT3 Filed as: QUENTIN C. KENT | PO BOX 3562 ALLENTOWN, PA 18106 | AFLAC | $44 | — | $44 | 0.70% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 3201 BEECHLEAF CT STE 200 RALEIGH, NC 27604 | USABLE LIFE | $547 | — | $547 | 19.99% |
| CONSOLIDATED BENEFITS INC3 Filed as: CONSOLIDATED BENEFITS, INC. | PO BOX 774232 HARRISBURG, PA 17177 | USABLE LIFE | $137 | — | $137 | 5.01% |
| BETHANY L ANDERSON3 | PO BOX 3562 ALLENTOWN, PA 18106 | AFLAC | $512 | — | $512 | 29.17% |
| WENDY M BOONE3 | 1901 SEIPSTOWN RD FOGELSVILLE, PA 18051 | AFLAC | $112 | — | $112 | 6.38% |
| JOSEPH B MCGINTY JR3 Filed as: JOSEPH B. MCGINTY JR. | 1150 GLENLIVET DRIVE SUITE A13 ALLENTOWN, PA 18106 | AFLAC | $79 | — | $79 | 4.50% |
| DENTON E QUICK3 Filed as: DENTON E. QUICK | 2202 WELLINGTON BLVD. WYOMISSING, PA 19610 | AFLAC | $11 | — | $11 | 0.63% |
| BETHANY L ANDERSON3 | PO BOX 3562 ALLENTOWN, PA 18106 | AFLAC | $31 | — | $31 | 4.81% |
| DENTON E QUICK3 | 2202 WELLINGTON BLVD. WYOMISSING, PA 19610 | AFLAC | $21 | — | $21 | 3.26% |
| JACQUELINE M EBERZ3 Filed as: JACQUELINE M. EBERZ | 98 LAMP POST ROAD NEW BRITAIN, PA 18901 | AFLAC | $10 | — | $10 | 1.55% |
| QUENTIN C KENT3 | PO BOX 3562 ALLENTOWN, PA 18106 | AFLAC | $8 | — | $8 | 1.24% |
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 | 134 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK INC. | 254 | $930K |
| Dental | HIGHMARK INC. | 254 | $930K |
| Vision | HIGHMARK INC. | 254 | $930K |
| Life insurance | USABLE LIFE | 47 | $3K |
| Short-term disability(4 contracts) | AFLAC | 35 | $41K |
| Prescription drug | HIGHMARK INC. | 254 | $930K |
| Other(5 contracts, 2 carriers) | AFLAC | 47 | $44K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 254 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.