| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $15K | — | $15K | 2.57% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $12K | — | $12K | 2.59% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $3K | — | $3K | 2.76% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $3K | — | $3K | 2.56% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $2K | — | $2K | 2.75% |
| VICARY INSURANCE AGENCY3 Filed as: VICARY INSURANCE AGENCY, LLC | 1652 WEST 8TH STREET ERIE, PA 16505 | AMERITAS LIFE INSURANCE CORP. | $3K | $71 | $3K | 4.79% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 7.63% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $892 | — | $892 | 2.37% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $571 | — | $571 | 2.54% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $416 | — | $416 | 2.38% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $416 | — | $416 | 3.00% |
| VICARY INSURANCE AGENCY3 Filed as: VICARY INSURANCE AGENCY, LLC | 1652 WEST 8TH STREET ERIE, PA 16505 | VISION BENEFITS OF AMERICA | $780 | — | $780 | 7.02% |
| MANUFACTURER & BUSINESS ASSOCIATION3 | 2171 WEST 38TH STREET ERIE, PA 16508 | VISION BENEFITS OF AMERICA | $220 | — | $220 | 1.98% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $181 | — | $181 | 2.31% |
| LILLIS MCKIBBEN BONGIOVANNI & CO3 Filed as: LILLIS MCKIBBEN AND CO. | 305 WEST 6TH STREET ERIE, PA 16507 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 16.81% |
| LILLIS MCKIBBEN BONGIOVANNI & CO3 Filed as: LILLIS MCKIBBEN AND CO. | 305 WEST 6TH STREET ERIE, PA 16507 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $827 | — | $827 | 13.10% |
| LILLIS MCKIBBEN BONGIOVANNI & CO3 Filed as: LILLIS MCKIBBEN AND CO. | 305 WEST 6TH STREET ERIE, PA 16507 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $88 | — | $88 | 13.56% |
| LILLIS MCKIBBEN BONGIOVANNI & CO3 Filed as: LILLIS MCKIBBEN AND CO. | 305 WEST 6TH STREET ERIE, PA 16507 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $65 | — | $65 | 15.08% |
| LILLIS MCKIBBEN BONGIOVANNI & CO3 Filed as: LILLIS MCKIBBEN AND CO. | 305 WEST 6TH STREET ERIE, PA 16507 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $46 | — | $46 | 12.01% |
| LILLIS MCKIBBEN BONGIOVANNI & CO3 Filed as: LILLIS MCKIBBEN AND CO. | 305 WEST 6TH STREET ERIE, PA 16507 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5 | — | $5 | 11.90% |
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 | 122 | 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) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(10 contracts) | UPMC HEALTH OPTIONS | 67 | $1.4M |
| Dental | AMERITAS LIFE INSURANCE CORP. | 257 | $57K |
| Vision(2 contracts, 2 carriers) | AMERITAS LIFE INSURANCE CORP. | 257 | $68K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 128 | $7K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 99 | $38K |
| Long-term disability(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 128 | $8K |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 128 | $691 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 257 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.