| 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 | $14K | — | $14K | 3.05% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $11K | — | $11K | 2.96% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 3.59% |
| VICARY INSURANCE AGENCY3 Filed as: VICARY INSURANCE AGENCY, LLC | 1652 WEST 8TH STREET ERIE, PA 16505 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 3.48% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $2K | — | $2K | 3.33% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $2K | — | $2K | 3.35% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $2K | — | $2K | 3.34% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $1K | — | $1K | 3.06% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $687 | — | $687 | 3.27% |
| VICARY INSURANCE AGENCY3 Filed as: VICARY INSURANCE AGENCY, LLC | 1652 WEST 8TH STREET ERIE, PA 16505 | VISION BENEFITS OF AMERICA | $694 | — | $694 | 7.02% |
| MANUFACTURER & BUSINESS ASSOCIATION3 | 2171 WEST 38TH STREET ERIE, PA 16508 | VISION BENEFITS OF AMERICA | $196 | — | $196 | 1.98% |
| LILLIS MCKIBBEN BONGIOVANNI & CO3 Filed as: LILLIS MCKIBBEN AND CO. | 305 WEST 6TH STREET ERIE, PA 16507 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $864 | — | $864 | 12.00% |
| 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 | 15.01% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $282 | — | $282 | 4.74% |
| LILLIS MCKIBBEN BONGIOVANNI & CO3 Filed as: LILLIS MCKIBBEN AND CO. | 305 WEST 6TH STREET ERIE, PA 16507 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $69 | — | $69 | 12.00% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $54 | — | $54 | — |
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 | 120 | 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) | 120 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts) | UPMC HEALTH OPTIONS | 63 | $1.1M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 113 | $80K |
| Vision | VISION BENEFITS OF AMERICA | 96 | $10K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 120 | $7K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 113 | $80K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 33 | $7K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 120 | $575 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 120 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.