| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STRICKLER AGENCY, INC3 Filed as: STRICKLER AGENCY | 1200 E. MCKINLEY STREET CHAMBERSBURG, PA 17201 | DELTA DENTAL OF PENNSYLVANIA | $3K | — | $3K | 2.00% |
| HARTMAN EMPLOYEE BENEFITS3 Filed as: THE HARTMAN AGENCY, INC. | 420 WILLIAM ST. WILLIAMSPORT, PA 17701 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $3K | $474 | $4K | 15.52% |
| CONSOLIDATED BENEFITS INC3 Filed as: CONSOLIDATED BENEFIT, INC. | 2500 ELMERTON AVENUE HARRISBURG, PA 171779764 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | — | $862 | $862 | 3.73% |
| STRICKLER AGENCY, INC3 Filed as: STRICKLER AGENCY | 1200 E. MCKINLEY ST. PO BOX 307 CHAMBERSBURG, PA 17202 | NATIONAL VISION ADMINISTRATORS, L.L.C. | $335 | — | $335 | 2.00% |
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 | 457 | 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) | 457 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF PENNSYLVANIA | 313 | $143K |
| Vision | NATIONAL VISION ADMINISTRATORS, L.L.C. | 319 | $17K |
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 457 | $23K |
| Other | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 457 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 457 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.