| 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 | $9K | — | $9K | 2.42% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $7K | — | $7K | 2.55% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $1K | — | $1K | 1.93% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $1K | — | $1K | 2.33% |
| VICARY INSURANCE AGENCY3 Filed as: VICARY INSURANCE AGENCY, LLC | 1652 WEST 8TH STREET ERIE, PA 16505 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 5.49% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $829 | — | $829 | 1.83% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 4.73% |
| ARCHON LLC3 | 225 WIRELESS BLVD HAUPPAUGE, NY 11788 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $930 | $930 | 2.97% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $503 | — | $503 | 2.05% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| ARCHON LLC3 | 225 WIRELESS BLVD HAUPPAUGE, NY 11788 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $689 | $689 | 5.00% |
| VICARY INSURANCE AGENCY3 Filed as: VICARY INSURANCE AGENCY, LLC | 1652 WEST 8TH STREET ERIE, PA 16505 | VISION BENEFITS OF AMERICA | $677 | — | $677 | 7.04% |
| MANUFACTURER & BUSINESS ASSOCIATION3 | 2171 WEST 38TH STREET ERIE, PA 16508 | VISION BENEFITS OF AMERICA | $190 | — | $190 | 1.98% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| ARCHON LLC3 | 225 WIRELESS BLVD HAUPPAUGE, NY 11788 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $352 | $352 | 5.00% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $922 | — | $922 | 15.00% |
| ARCHON LLC3 | 225 WIRELESS BLVD HAUPPAUGE, NY 11788 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $307 | $307 | 5.00% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 | 305 WEST 6TH STREET ERIE, PA 16507 | UPMC HEALTH OPTIONS | $90 | — | $90 | 1.82% |
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 | 105 | 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) | 106 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts) | UPMC HEALTH OPTIONS | 64 | $846K |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 108 | $48K |
| Vision | VISION BENEFITS OF AMERICA | 92 | $10K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 113 | $6K |
| Short-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 93 | $31K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 32 | $7K |
| Other(2 contracts) | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 113 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 113 | — |
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.