| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SUSAN R MCSHERRY3 Filed as: SUSAN R. MCSHERRY | 1330 BRIARGATE DRIVE YORK, PA 17404 | AFLAC | $4K | $159 | $4K | 6.38% |
| JANE N ARTMAN3 Filed as: JANE N. ARTMAN | 402 LEE CT. YORK, PA 17406 | AFLAC | $1K | $0 | $1K | 2.05% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY S. ALMODOVAR | 3605 VARTAN WAY STE 304 HARRISBURG, PA 17110 | AFLAC | $1K | $32 | $1K | 1.52% |
| ADAM DANIEL LEVINE3 | 200 BUTLER AVE STE 200 LANCASTER, PA 17601 | AFLAC | $981 | $32 | $1K | 1.45% |
| STEPHEN BRETZ3 | 7950 TANGLEWOOD DRIVE NEW PORT RICHEY, FL 34654 | AFLAC | $986 | $0 | $986 | 1.41% |
| DIANNE L MARTIN3 Filed as: DIANNE L. MARTIN | 125 MANOR STREET HARRISBURG, PA 17110 | AFLAC | $618 | $0 | $618 | 0.88% |
| EARMON ALLEN JOHNSON3 | 516 RYAN DR HARRISBURG, PA 17112 | AFLAC | $461 | $0 | $461 | 0.66% |
| LISA H PERRY3 Filed as: LISA H. PERRY | 1650 SAND LAKE RD, STE 201D ORLANDO, FL 32809 | AFLAC | $274 | $0 | $274 | 0.39% |
| JASON E FERGER3 Filed as: JASON E. FERGER | 3706 EAGLEWOOD ST. VALRICO, FL 33596 | AFLAC | $268 | $0 | $268 | 0.38% |
| TODD E SHENBERGER3 Filed as: TODD E SHENGERGER | 3620 WYOMING BLVD NE, STE 102G ALBUQUERQUE, NM 87111 | AFLAC | $214 | $0 | $214 | 0.31% |
| ROBERT W RICHARDSON3 | 1860 HUNTERS FORK RD BELINGTON, WV 26250 | AFLAC | $177 | $0 | $177 | 0.25% |
| BRIAN L HURST3 Filed as: BRIAN L. HURST | 255 BUTLER AVE, STE 104 LANCASTER, PA 17601 | AFLAC | $175 | $0 | $175 | 0.25% |
| EVA M ALEXANDER3 | 119 WINDING HILL DRIVE LANCASTER, PA 17601 | AFLAC | $152 | $0 | $152 | 0.22% |
| J D LUEDTKE INC3 Filed as: JD LUEDTKE INC. | 313 4TH ST HANOVER, PA 17331 | AFLAC | $125 | $0 | $125 | 0.18% |
| C A LUPP INC3 Filed as: CA LUPP INC | 940 E PARK DR, STE 300 HARRISBURG, PA 17111 | AFLAC | $103 | $0 | $103 | 0.15% |
| GERALD L WALSH3 | 39 POCAHONTAS LN HALIFAX, PA 17032 | AFLAC | $100 | $0 | $100 | 0.14% |
| RANDALL D NAFTAL3 | 2 STATION SQ STE 201 37 NORTH VALLEY ROAD PAOLI, PA 19301 | AFLAC | $98 | $0 | $98 | 0.14% |
| MELYNDA S HASSELBACH3 | 53 BLUE ROCK RD MILLERSVILLE, PA 17551 | AFLAC | $85 | $0 | $85 | 0.12% |
| KIMBERLY J SCHUCHART3 | 8 SPRUCE LN NEW OXFORD, PA 17350 | AFLAC | $81 | $0 | $81 | 0.12% |
| RANDALL SIMS3 | 138 DERR DR COLLEGEVILLE, PA 19426 | AFLAC | $65 | $0 | $65 | 0.09% |
| DAVID W RANCK3 | 848 E MAIN ST, STE 800 EPHRATA, PA 17522 | AFLAC | $57 | $0 | $57 | 0.08% |
| BONITA REID3 | 200 TOWNHOUSE RD SANGERVILLE, ME 04479 | AFLAC | $53 | $0 | $53 | 0.08% |
| ROBERT A ANDERSON3 | 13710 GENERAL GEARY CT FREDERICKSBURG, VA 22407 | AFLAC | $53 | $0 | $53 | 0.08% |
| MARILYN BRANNEN3 | 648 GOLDENVILLE RD GETTYSBURG, PA 17325 | AFLAC | $44 | $0 | $44 | 0.06% |
| DOUGLAS P DOUGLAS3 | 3101 DUMAS AVE SPRING HILL, FL 34609 | AFLAC | $39 | $0 | $39 | 0.06% |
| MATTHEW G BERGER3 | 22 SUNNYRIDGE RD PHILADELPHIA, PA 19125 | AFLAC | $37 | $0 | $37 | 0.05% |
| DARREN D RIDDLE3 | 7850 AVONDALE TER HARRISBURG, PA 17112 | AFLAC | $35 | $0 | $35 | 0.05% |
| HERNANDO FINANCIAL SERVICES INC3 | 271 COUNTY ROAD 255 ATHENS, TN 37303 | AFLAC | $33 | $0 | $33 | 0.05% |
| RICHARD J PURISKY3 | 244 CROSS CREEK TRL BANNER ELK, NC 28604 | AFLAC | $26 | $0 | $26 | 0.04% |
| RYAN K GOLDBERG3 | 103 CHURCH ST #3 PHILADELPHIA, PA 19106 | AFLAC | $23 | $0 | $23 | 0.03% |
| SHELLY S GWIN3 | 94 OATFIELD DR DENVER, PA 17517 | AFLAC | $21 | $0 | $21 | 0.03% |
| CHRISTOPHER A LUPP3 | 940 E PARK DR, STE 301 HARRISBURG, PA 17111 | AFLAC | $18 | $0 | $18 | 0.03% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY LLC | PO BOX 900 CAMP HILL, PA 17001 | AFLAC | $17 | $0 | $17 | 0.02% |
| ANGELA MASSARELLI3 | 30 WATERFRONT WAY HAMMONTON, NJ 08037 | AFLAC | $17 | $0 | $17 | 0.02% |
| DANIEL R JUDY3 | 231 WALTERS MILL RD SOMERSET, PA 15501 | AFLAC | $17 | $0 | $17 | 0.02% |
| KIMMON R GUSEMAN3 | 48 NICKMAN PLZ LEMONT FURNANCE, PA 15456 | AFLAC | $14 | $0 | $14 | 0.02% |
| MARK D BARBIER3 | 23 CROYDON LN OAK BROOK, IA 60523 | AFLAC | $13 | $0 | $13 | 0.02% |
| IRENE E BROOKS3 | 101 COPPER BEECH LN WOMELSDORF, PA 19567 | AFLAC | $13 | $0 | $13 | 0.02% |
| KIMMON R GUSEMAN3 | 47 E FAYETTE ST UNIT 259 UNIONTOWN, PA 15401 | AFLAC | $10 | $0 | $10 | 0.01% |
| RPM LTD3 | 25 WEATHERBY CIR SAVANNAH, GA 31405 | AFLAC | $10 | $0 | $10 | 0.01% |
| JEFFREY R STAUFFER3 | 2190 CANTERBURY DR MECHANICSBURG, PA 17055 | AFLAC | $7 | $0 | $7 | 0.01% |
| JONATHON R SEELE3 | 60 BYRON NELSON CIR ETTERS, PA 17319 | AFLAC | $7 | $0 | $7 | 0.01% |
| MARTIN E BYSTROM3 | 253 MINORCA BEACH WAY, APT 305 NEW SMYRNA BEACH, FL 32169 | AFLAC | $7 | $0 | $7 | 0.01% |
| MURRAY INS ASSOC INC3 Filed as: MURRAY SECURUS | 39 N DUKE STREET LANCASTER, PA 17602 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 8.56% |
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 | 123 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | AFLAC | 64 | $70K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 123 | $97K |
| Short-term disability | AFLAC | 64 | $70K |
| Other(3 contracts, 3 carriers) | AFLAC | 144 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 144 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.