| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENGLE-HAMBRIGHT & DAVIES, INC.3 Filed as: ENGLE-HAMBRIGHT & DAVIES INC. | 1857 WILLIAM PENN WAY PO BOX 11600 LANCASTER, PA 17601 | AFLAC | $1K | — | $1K | 3.10% |
| BETH ANN RIDER3 | 1 LAUREN LN EPHRATA, PA 17522 | AFLAC | $655 | — | $655 | 1.97% |
| DAVID B SPENCER3 | 2470 W ROUTE 897 DENVER, PA 17517 | AFLAC | $528 | — | $528 | 1.59% |
| ANTHONY S ALMODOVAR3 | 3605 VARTAN WAY STE 304 HARRISBURG, PA 17110 | AFLAC | $490 | — | $490 | 1.48% |
| DAVID B SPENCER3 | 303 GOLF RD MYERSTOWN, PA 17067 | AFLAC | $241 | — | $241 | 0.73% |
| CHRISTIAN D SANTIAGO3 | 121 TUDOR LANE BIRDSBORO, PA 19508 | AFLAC | $236 | — | $236 | 0.71% |
| ENROLLEASE3 Filed as: MARK A CLARKE | 317 WILLOW AVE CAMP HILL, PA 17011 | AFLAC | $154 | — | $154 | 0.46% |
| BRAD ANDREW NELSON3 Filed as: BRAD GOLDSMITH | 23 OAK LANE DRIVE CARLISLE, PA 17015 | AFLAC | $106 | — | $106 | 0.32% |
| DAVID C WILSON3 | 602 EDWARDS AVE POTTSVILLE, PA 17901 | AFLAC | $64 | — | $64 | 0.19% |
| JACQUELINE M EBERZ3 | 98 LAMP POST RD NEW BRITAIN, PA 18901 | AFLAC | $10 | — | $10 | 0.03% |
| MATTHEW G BERGER3 | 22 SUNNYRIDGE RD PHILADELPHIA, PA 19125 | AFLAC | $7 | — | $7 | 0.02% |
| RYAN K GOLDBERG3 | 103 CHURCH ST #3 PHILADELPHIA, PA 19106 | AFLAC | $1 | — | $1 | 0.00% |
| ENGLE-HAMBRIGHT & DAVIES, INC.3 Filed as: ENGLE-HAMBRIGHT & DAVIES INC. | 1857 WILLIAM PENN WAY PO BOX 11600 LANCASTER, PA 17601 | AFLAC | $568 | — | $568 | 4.61% |
| CHRISTOPHER C HAYWARD3 | 4921 BONSAI CIR APT 211 PALM BEACH GARDENS, FL 33420 | AFLAC | $195 | — | $195 | 1.58% |
| BRIAN DALE LIBBY3 | PO BOX 554 HILLIARD, FL 32046 | AFLAC | $56 | — | $56 | 0.45% |
| DAVID C SWEIGARD3 | 2603 PELLICER RD SAINT AUGUSTINE, FL 32092 | AFLAC | $52 | — | $52 | 0.42% |
| DAVID B SPENCER3 | 2470 W ROUTE 897 DENVER, PA 17517 | AFLAC | $45 | — | $45 | 0.37% |
| TALLON AND ASSOCIATES INC3 | PO BOX 30668 PALM BEACH GARDENS, FL 33420 | AFLAC | $44 | — | $44 | 0.36% |
| JAMEY MILLER INC3 Filed as: JAMEY MILLER INC. | 2202 57TH ST SE AUBURN, WA 98092 | AFLAC | $42 | — | $42 | 0.34% |
| ANTHONY S ALMODOVAR3 | 3605 VARTAN WAY STE 304 HARRISBURG, PA 17110 | AFLAC | $37 | — | $37 | 0.30% |
| TOMPKINS INSURANCE AGENCIES3 Filed as: TOMPKINS INS. AGENCIES, INC. | 90 MAIN ST. BATAVIA, NY 14020 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $201 | — | $201 | 2.00% |
| ENGLE-HAMBRIGHT & DAVIES, INC.3 | P.O. BOX 11600 LANCASTER, PA 17605 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $48 | — | $48 | 0.48% |
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 | 633 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 645 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION BENEFITS OF AMERICA | 479 | $51K |
| Short-term disability(3 contracts, 2 carriers) | AFLAC | 43 | $56K |
| Other(4 contracts, 3 carriers) | AFLAC | 643 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 643 | — |
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.