| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HENDERSON BROTHERS, INC.3 | 920 FORT DUQUESNE BLVD. PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $21K | — | $21K | 2.68% |
| HENDERSON BROTHERS, INC.3 | 920 FORT DUQUESNE BLVD. PITTSBURGH, PA 15222 | HIGHMARK | $29K | — | $29K | 4.19% |
| HENDERSON BROTHERS, INC.3 | 920 FORT DUQUESNE BLVD. PITTSBURGH, PA 15222 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $13K | — | $13K | 10.00% |
| HENDERSON BROTHERS, INC.3 | 920 FORT DUQUESNE BLVD. PITTSBURGH, PA 15222 | HIGHMARK | $9K | — | $9K | 9.68% |
| DAMIAN FOSTER3 | 810 RIVER AVENUE STE 230 PITTSBURGH, PA 15212 | AFLAC | $2K | $5 | $2K | 12.38% |
| DANIEL C HARRIS3 Filed as: DANIEL JAMES ROOS | 173 GROVE AVENUE PITTSBURGH, PA 15229 | AFLAC | $619 | $2 | $621 | 3.87% |
| SMITH BENEFITS CONSULTING GROUP3 | 810 RIVER AVENUE STE 230 PITTSBURGH, PA 15212 | AFLAC | $378 | $5 | $383 | 2.38% |
| HENRY O CALLIER JR3 | 21 VAN BUREN CIRCLE MCKEES ROCKS, PA 15136 | AFLAC | $329 | $23 | $352 | 2.19% |
| CHRISTOPHER JASON BASHUR3 | 7 ALLEGHENY CTR APT203 PITTSBURGH, PA 15212 | AFLAC | $237 | — | $237 | 1.48% |
| LEVI NATHANIE HICKS3 | 1222 MARGARET STREET HOMESTEAD, PA 15120 | AFLAC | $139 | — | $139 | 0.87% |
| JEFFREY A FABRIS3 | 553 ROOSEVELT AVENUE STE 104 ENUMCLAW, WA 98022 | AFLAC | $106 | $9 | $115 | 0.72% |
| JASON LYLE LAVRINC3 | 147 HAWTHORNE AVE WEST VIEW, PA 15229 | AFLAC | $68 | — | $68 | 0.42% |
| DANIEL MARCIN INSURANCE INC3 | 780 ALLEGHENY RIVER BLVD SUITE 200 VERONA, PA 15147 | AFLAC | $65 | — | $65 | 0.40% |
| MARIO HAIFA3 | 1195 WASHINGTON PIKE STE 300 BRIDGEVILLE, PA 15017 | AFLAC | $64 | — | $64 | 0.40% |
| JASON LYLE LAVRINC3 | 204 CLIFFSIDE DR MARS, PA 16046 | AFLAC | $61 | — | $61 | 0.38% |
| TEMPLE K WOODLEY3 | 2014 REIS RUN ROAD PITTSBURGH, PA 15237 | AFLAC | $55 | — | $55 | 0.34% |
| LAURA MITCHELL-DENDY3 | 1644 ARDMORE BLVD PITTSBURGH, PA 15221 | AFLAC | $26 | — | $26 | 0.16% |
| JOHN B LACARIA3 | 102 JENNIFER LN BRIDGEPORT, WV 26330 | AFLAC | $26 | — | $26 | 0.16% |
| BRIAN W PATTEN3 Filed as: BRIAN PATTEN | 120 MARGUERITE DRIVE STE 101 CRANBERRY TWP, PA 16066 | AFLAC | $12 | $5 | $17 | 0.11% |
| BRANDON PENKO3 Filed as: BRANDON HOOBLER | 14220 INTERURBAN AVENUE S STE 150 SEATTLE, WA 98168 | AFLAC | $13 | $3 | $16 | 0.10% |
| SJP & ASSOCIATES3 Filed as: SJP & ASSOCIATES, INC. | 4000 OLD STATION ROAD APT 4101 CRANBERRY TWP, PA 16066 | AFLAC | $14 | — | $14 | 0.09% |
| SHAIN R BLOOM3 | 17517 48TH STREET CT E LAKE TAPPS, WA 98391 | AFLAC | $11 | $3 | $14 | 0.09% |
| CARLA FRANCES BAILEY3 | PO BOX 100197 PITTSBURGH, PA 15233 | AFLAC | $12 | — | $12 | 0.07% |
| PATIENCE M DANNA3 | 320 FORT DUQUESNE APT 4E PITTSBURGH, PA 15222 | AFLAC | $4 | $8 | $12 | 0.07% |
| OWEN MYRTLE INC3 | 1611 ST ANDREWS DRIVE STE 22 LAWRENCE, KS 66047 | AFLAC | $11 | — | $11 | 0.07% |
| LISA M STELLO3 | 1110 FOX POINTE DRIVE CHESWICK, PA 15024 | AFLAC | $8 | $3 | $11 | 0.07% |
| SHAIN R BLOOM3 | 21001 CHURCH LAKE DR E BONNEY LAKE, WA 98391 | AFLAC | $10 | — | $10 | 0.06% |
| RICHARD LOWMAN3 Filed as: RICHARD E LOWMAN II | 516 GRANDVIEW AVE APT 7 PITTSBURGH, PA 15211 | AFLAC | $9 | — | $9 | 0.06% |
| JOY GRUBE PADGELEK3 | 1195 WASHINGTON PIKE SUITE 300 BRIDGEVILLE, PA 15017 | AFLAC | $9 | — | $9 | 0.06% |
| RIFFE CONSULTING GROUP LLC3 | 203 MEADOWBROOK DR CRANBERRY TWP, PA 16066 | AFLAC | $4 | $3 | $7 | 0.04% |
| RUTH E WOODS3 | 147 HEMPHILL STREET PITTSBURGH, PA 15214 | AFLAC | $5 | — | $5 | 0.03% |
| BRIAN W PATTEN3 | 120 MARGUERITE DRIVE CRANBERRY TWP, PA 16066 | AFLAC | $5 | — | $5 | 0.03% |
| WILLIAM K LIEBERMAN3 | 339 6TH AVENUE SUITE 720 PITTSBURGH, PA 15222 | AFLAC | $4 | — | $4 | 0.02% |
| DOMINICK J LACARIA3 | 216 ROSCOMMON PL MCMURRAY, PA 15317 | AFLAC | $4 | — | $4 | 0.02% |
| JAMES G BRANDT3 | 47 MARVIN STREET PORT MATILDA, PA 16870 | AFLAC | $4 | — | $4 | 0.02% |
| ASHTON CONSULTING INC3 | 2101 W BROADWAY STE 200 COLUMBIA, MO 65203 | AFLAC | $3 | — | $3 | 0.02% |
| ROBERT D BURTON3 | 550 SOUTH AVENUE VERONA, PA 15147 | AFLAC | $3 | — | $3 | 0.02% |
| PATIENCE M DANNA3 | 320 FORT DUQUESNE BLVD APT 4E PITTSBURGH, PA 15222 | AFLAC | $3 | — | $3 | 0.02% |
| ANDREA STEARNS3 | 501 HOLIDAY DRIVE FOSTER PLAZA, STE 120 PITTSBURGH, PA 15220 | AFLAC | $2 | — | $2 | 0.01% |
| ANDREA STEARNS3 | 1195 WASHINGTON PIKE SUITE 340 BRIDGEVILLE, PA 15017 | AFLAC | $2 | — | $2 | 0.01% |
| THE TORRES GROUP LLC3 | 1750 FARMINTON CIRCLE WELLINTON, TN 37919 | AFLAC | $1 | — | $1 | 0.01% |
| RICHARD BRYER3 | 2135 RIDGE ROAD GREENSBURG, PA 15601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $320 | $9 | $329 | 9.51% |
| LISA M BRYER3 Filed as: LISA BRYER | 2135 RIDGE ROAD GREENSBURG, PA 15601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $111 | — | $111 | 3.21% |
| TAMMY A MORGART3 Filed as: TAMMY MORGART | 13347 DEAN DRIVE N HUNTINGDON, PA 15642 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $85 | $3 | $88 | 2.54% |
| TIMOTHY J SLATER3 Filed as: TIMOTHY SLATER | 821 WHITE OAK CIRCLE PITTSBURGH, PA 15228 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | $3 | $27 | 0.78% |
| BARBARA K GROSS3 Filed as: BARBARA GROSS | 15 WEBER ROAD JEANNETTE, PA 15644 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | — | $18 | 0.52% |
| WILLIAM E GOOD3 Filed as: WILLIAM GOOD | 311 BOWIE STREET AUSTIN, TX 78703 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.03% |
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 | 255 | 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) | 256 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UPMC HEALTH OPTIONS | 188 | $1.5M |
| Dental | HIGHMARK | 480 | $92K |
| Vision | VISION BENEFITS OF AMERICA | 263 | $17K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 315 | $129K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 315 | $129K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 315 | $129K |
| Prescription drug | HIGHMARK | 147 | $176K |
| Other(3 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 315 | $148K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 480 | — |
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."
No prospect flags tripped on this filing.