| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SOMERSET BENEFITS LLC3 Filed as: SOMERSET BENEFITS LLC DBA | HEALTHFIRST - TWO VILLANOVA CENTER 795 E LANCASTER AVE SUITE 210 VILLANOVA, PA 19085 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | $0 | $3K | 1.08% |
| CHRISTIAN D SANTIAGO3 | 308 SPRINGSIDE DR READING, PA 19607 | AFLAC | $2K | $148 | $2K | 5.30% |
| ENGLE-HAMBRIGHT & DAVIES, INC.3 Filed as: ENGLE-HAMBRIGHT & DAVIES INC | 1857 WILLIAM PENN WAY PO BOX 11600 LANCASTER, PA 17601 | AFLAC | $1K | $0 | $1K | 3.84% |
| DAVID B SPENCER3 | 2470 W ROUTE 897 DENVER, PA 17517 | AFLAC | $847 | $78 | $925 | 2.48% |
| ANTHONY S ALMODOVAR3 | 3605 VARTAN WAY STE 304 HARRISBURG, PA 17110 | AFLAC | $571 | $53 | $624 | 1.67% |
| BETH ANN RIDER3 | 1 LAUREN LN EPHRATA, PA 17522 | AFLAC | $303 | $0 | $303 | 0.81% |
| ENROLLEASE3 Filed as: MARK A CLARKE | 317 WILLOW AVE CAMP HILL, PA 17011 | AFLAC | $181 | $0 | $181 | 0.49% |
| SOMERSET BENEFITS LLC3 | 795 E LANCASTER AVE STE 210 VILLANOVA, PA 19085 | AFLAC | $168 | $0 | $168 | 0.45% |
| BRAD ANDREW NELSON3 Filed as: BRAD GOLDSMITH | 23 OAK LANE DR CARLISLE, PA 17015 | AFLAC | $145 | $0 | $145 | 0.39% |
| DAVID C WILSON3 | 602 EDWARDS AVE POTTSVILLE, PA 17901 | AFLAC | $64 | $0 | $64 | 0.17% |
| JACQUELINE M EBERZ3 | 98 LAMP POST RD NEW BRITAIN, PA 18901 | AFLAC | $10 | $0 | $10 | 0.03% |
| MATTHEW G BERGER3 | 22 SUNNYRIDGE RD PHILADELPHIA, PA 19125 | AFLAC | $7 | $0 | $7 | 0.02% |
| RYAN K GOLDBERG3 | 103 CHURCH ST #3 PHILADELPHIA, PA 19106 | AFLAC | $1 | $0 | $1 | 0.00% |
| ANGELA MASSARELLI3 | 30 WATERFRONT WAY HAMMONTON, NJ 08037 | AFLAC | $1 | $0 | $1 | 0.00% |
| DARREN D RIDDLE3 | 7850 AVONDALE TER HARRISBURG, PA 17112 | AFLAC | $1 | $0 | $1 | 0.00% |
| PENTRA LLC3 Filed as: PENTRA, LLC | 202 920 CASSATT RD. BERWYN, PA 19312 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $609 | $0 | $609 | 3.90% |
| TOMPKINS INSURANCE AGENCIES3 Filed as: TOMPKINS INS. AGENCIES, INC. | 90 MAIN ST. BATAVIA, NY 14020 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $386 | $0 | $386 | 2.47% |
| ENGLE-HAMBRIGHT & DAVIES, INC.3 | P.O. BOX 11600 LANCASTER, PA 17605 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $263 | $0 | $263 | 1.68% |
| ENGLE-HAMBRIGHT & DAVIES, INC.3 Filed as: ENGLE-HAMBRIGHT & DAVIES INC | 1857 WILLIAM PENN WAY PO BOX 11600 LANCASTER, PA 17601 | AFLAC | $623 | $0 | $623 | 4.18% |
| CHRISTOPHER C HAYWARD3 | PO BOX 30668 PALM BEACH GARDENS, FL 33420 | AFLAC | $270 | $22 | $292 | 1.96% |
| CHRISTIAN D SANTIAGO3 | 308 SPRINGSIDE DR READING, PA 19607 | AFLAC | $160 | $4 | $164 | 1.10% |
| BRYAN LIBBY3 | PO BOX 554 HILLIARD, FL 32046 | AFLAC | $106 | $0 | $106 | 0.71% |
| DAVID B SPENCER3 | 2470 W ROUTE 897 DENVER, PA 17517 | AFLAC | $55 | $2 | $57 | 0.38% |
| DAVID C SWEIGARD3 | 2603 PELLICER RD SAINT AUGUSTINE, FL 32092 | AFLAC | $52 | $0 | $52 | 0.35% |
| TALLON AND ASSOCIATES INC3 | PO BOX 30668 PALM BEACH GARDENS, FL 33420 | AFLAC | $48 | $0 | $48 | 0.32% |
| JAMEY MILLER INC3 | 10375 CENTURION PKWY N STE 100 JACKSONVILLE, FL 32256 | AFLAC | $46 | $0 | $46 | 0.31% |
| ANTHONY S ALMODOVAR3 | 3605 VARTAN WAY STE 304 HARRISBURG, PA 17110 | AFLAC | $44 | $2 | $46 | 0.31% |
| SUWAT ASSAWAMATIYANONT3 | 8171 HAMPTON WOOD DR BOCA RATON, FL 33433 | AFLAC | $6 | $4 | $10 | 0.07% |
| DAVID C SWEIGARD3 | 2575E PELLICER RD SAINT AUGUSTINE, FL 32092 | AFLAC | $5 | $0 | $5 | 0.03% |
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 | 536 | 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) | 536 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | AFLAC | 53 | $52K |
| Vision | VISION BENEFITS OF AMERICA | 476 | $58K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 535 | $298K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 535 | $298K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 535 | $298K |
| Other(4 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 535 | $366K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 535 | — |
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."
No prospect flags tripped on this filing.