| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVE 30TH FLOOR PITTSBURGH, PA 15222 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 7.18% |
| SEUBERT & ASSOCIATES, INC.3 | 225 NORTH SHORE DRIVE STE 300 PITTSBURGH, PA 15212 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 4.13% |
| FNA INSURANCE SERVICES INC3 Filed as: FNA | 1000 WOODBURY RD. STE 403 WOODBURY, NY 11797 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $1K | $1K | 3.62% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BLVD. STE 200 HAUPPAUGE, NY 11788 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $524 | $524 | 1.38% |
| MARILYN WYMAN3 | 3309 VACATION LN ST. JAMES CITY, FL 33956 | AFLAC | $2K | $187 | $3K | 8.08% |
| ASSUREDPARTNERS3 Filed as: HDH GROUP INC | 1250 TOWER LANE ERIE, PA 16505 | AFLAC | $2K | — | $2K | 6.02% |
| KAYLIE A LING3 | 243 TAMARACK DR. MARS, PA 16046 | AFLAC | $208 | $40 | $248 | 0.78% |
| STEPHANIE V BOOMGAARDEN3 | 24151 BEATRIX BOUELVARD UNIT 512 PORT CHARLOTTE, FL 33954 | AFLAC | $151 | — | $151 | 0.48% |
| MICHELLE H KELLEY3 | 2411 WEST 26TH STREET ERIE, PA 16506 | AFLAC | $108 | — | $108 | 0.34% |
| RONALD PUSZ3 Filed as: RONALD W PUSZ | 13496 WALKER ST MEADVILLE, PA 16335 | AFLAC | $94 | — | $94 | 0.30% |
| BRANDI L VANERSTROM3 | 1227 WOLF RUN ROAD BRADFORD, PA 16701 | AFLAC | $89 | — | $89 | 0.28% |
| EZI INSURANCE SOLUTIONS3 | 15 IMPERIAL DR. GREENVILLE, PA 16125 | AFLAC | $69 | — | $69 | 0.22% |
| PATRICK JOSEPH KELLEY3 Filed as: PATRICK J KELLEY | 2311 MAYFLOWER DR. ERIE, PA 16506 | AFLAC | $57 | — | $57 | 0.18% |
| LORI L CLARK3 | 11581 COTTON RD MEADVILLE, PA 16335 | AFLAC | $48 | — | $48 | 0.15% |
| DONNA SHAW3 Filed as: DONNA J SHAW | 4811 KOEHLER RD. ERIE, PA 16510 | AFLAC | $44 | — | $44 | 0.14% |
| MATTHEW PASSALINQUA3 | 3940 ROXBURY RD. ERIE, PA 16506 | AFLAC | $39 | — | $39 | 0.12% |
| MARGARET E MYERS3 | 453 BENSON ROAD RD 3 WATERFORD, PA 16441 | AFLAC | $35 | — | $35 | 0.11% |
| DARBY A BAER3 | 5025 W BUCKSKIN DR. ELOY, AZ 85131 | AFLAC | $33 | — | $33 | 0.10% |
| SMITH BENEFITS CONSULTING GROUP3 | 810 RIVER AVENUE STE 230 PITTSBURGH, PA 15212 | AFLAC | $25 | — | $25 | 0.08% |
| KARGES BENEFITS CONSULT GROUP LLC3 | 7750 BLAZY RD EDINBORO, PA 16412 | AFLAC | $20 | — | $20 | 0.06% |
| TAMMY BILOTTI3 | 3122 W 40TH ST. ERIE, PA 16506 | AFLAC | $20 | — | $20 | 0.06% |
| DANIEL WILLIAM DUBOWSKI3 | 5803 FOREST CROSSING ERIE, PA 16506 | AFLAC | $15 | — | $15 | 0.05% |
| BRIAN TODD KAUFFMAN3 | 3009 WILMINGTON RD. NEW CASTLE, PA 16105 | AFLAC | $12 | — | $12 | 0.04% |
| BILLY M CRAIN3 | 8990 WENTLETRAP AVE. PORT ST JOE, FL 32456 | AFLAC | $12 | — | $12 | 0.04% |
| JMP BENEFITS GROUP INC3 Filed as: JMP BENEFITS GROUP, INC. | 504 S MAIN ST. STE 101 ZELIENOPLE, PA 16063 | AFLAC | $9 | — | $9 | 0.03% |
| TIMOTHY R QUINLAN3 | PO BOX 387 CONNOQUENESSING, PA 16027 | AFLAC | $8 | — | $8 | 0.03% |
| GERHARD K GAISER3 | 2432 E GRANDVIEW BLVD. ERIE, PA 16510 | AFLAC | $6 | — | $6 | 0.02% |
| LISA M BECK3 | 10717 WESTVIEW AVE MEADVILLE, PA 16335 | AFLAC | $2 | — | $2 | 0.01% |
| BRIAN W PATTEN3 | 120 MARGUERITE DR. STE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $2 | — | $2 | 0.01% |
| LISA M NEARHOOF3 | 3610 SCARBORO RD. ERIE, PA 16506 | AFLAC | $1 | — | $1 | 0.00% |
| JOY GRUBE PADGELEK3 | 1195 WASHINGTON PIKE STE 300 BRIDGEVILLE, PA 15017 | AFLAC | $1 | — | $1 | 0.00% |
| SMITH BENEFITS CONSULTING GROUP3 | 810 RIVER AVE STE 230 PITTSBURGH, PA 15212 | AFLAC | $1 | — | $1 | 0.00% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $605 | — | $605 | 8.21% |
| FNA INSURANCE SERVICES INC3 Filed as: FNA | 1000 WOODBURY ROAD STE 403 WOODBURY, NY 11797 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $275 | $275 | 3.73% |
| SEUBERT & ASSOCIATES, INC.3 | 225 N SHORE DR. STE 300 PITTSBURGH, PA 15212 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $205 | — | $205 | 2.78% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BLVD. STE 200 HAUPPAUGE, NY 11788 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $93 | $93 | 1.26% |
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 | 230 | 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) | 231 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | AFLAC | 230 | $39K |
| Short-term disability | AFLAC | 48 | $32K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 213 | $38K |
| Other(2 contracts, 2 carriers) | AFLAC | 230 | $39K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 230 | — |
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.