| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE DJB GROUP3 Filed as: THE DJB GROUP INC. | 262 CHESTNUT STREET, SUITE 200 MEADVILLE, PA 16335 | HIGHMARK INC. | $38K | $0 | $38K | 4.55% |
| THE DJB GROUP3 Filed as: THE DJB GROUP INC. | 262 CHESTNUT STREET, SUITE 200 MEADVILLE, PA 16335 | DELTA DENTAL OF PENNSYLVANIA | $4K | $0 | $4K | 9.00% |
| PITTSBURGH REGIONAL OFFICE3 | 401 LIBERTY AVE STE 2378 PITTSBURGH, PA 15222 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $29 | $29 | 0.14% |
| THE DJB GROUP3 Filed as: THE DJB GROUP INC. | 262 CHESTNUT STREET, SUITE 200 MEADVILLE, PA 16335 | VISION BENEFITS OF AMERICA | $484 | $0 | $484 | 7.02% |
| MFR. AND BUS. ASSOC. INS. AGENCY3 | 2171 WEST 38TH STREET ERIE, PA 16508 | VISION BENEFITS OF AMERICA | $136 | $0 | $136 | 1.97% |
| BARBARA BAXTER DEJOHN3 | 1154 TIDEWOOD DR BETHEL PARK, PA 15102 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $59 | $4 | $63 | 6.62% |
| JOHN A WENSLOW3 | 11400 CARTER RD ALBION, PA 16401 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | $0 | $17 | 1.79% |
| LYNN JOBE3 | PO BOX 274 SEAGERTOWN, PA 16433 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15 | $0 | $15 | 1.58% |
| TMMOTHY J SLATER3 | 466 CARNEGIE DR PITTSBURGH, PA 15243 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $1 | $5 | 0.53% |
| BRETT HARSH3 | PO BOX 1391 WEXFORD, PA 15090 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $0 | $3 | 0.32% |
| JOHNSTONE INSURANCE SERVICES LLC3 | 706 OLIVE ST PITTSBURGH, PA 15237 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
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 | 150 | 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) | 150 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK INC. | 149 | $825K |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 118 | $39K |
| Vision | VISION BENEFITS OF AMERICA | 95 | $7K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 123 | $22K |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 1 | $951 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.