| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENSCOE LONG INSURANCE GROUP LLC3 | 80 EMERSON LANE SUITE 1305 BRIDGEVILLE, PA 15017 | UPMC HEALTH OPTIONS | $7K | — | $7K | 2.81% |
| ENSCOE LONG INSURANCE GROUP LLC3 | 80 EMERSON LANE SUITE 1305 BRIDGEVILLE, PA 15017 | UPMC HEALTH OPTIONS | $7K | — | $7K | 2.76% |
| ENSCOE LONG INSURANCE GROUP LLC3 | 80 EMERSON LANE SUITE 1305 BRIDGEVILLE, PA 15017 | UPMC HEALTH OPTIONS | $6K | — | $6K | 2.79% |
| ENSCOE LONG INSURANCE GROUP LLC3 | 80 EMERSON LANE SUITE 1305 BRIDGEVILLE, PA 15017 | UPMC HEALTH OPTIONS | $3K | — | $3K | 2.56% |
| ENSCOE LONG INSURANCE GROUP LLC3 | 80 EMERSON LANE SUITE 1305 BRIDGEVILLE, PA 15017 | UPMC HEALTH OPTIONS | $2K | — | $2K | 2.76% |
| PENNSYLVANIA AUTO ASSOC INS AGY INC3 Filed as: PENNSYLVANIA AUTO ASSOC. | 1925 N. FRONT STREET HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | $5K | $1K | $6K | 7.46% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE CO. | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $1K | — | $1K | 1.51% |
| ENSCOE LONG INSURANCE GROUP LLC3 Filed as: ENSCOE LONG INSURANCE GROUP, LLC | 80 EMERSON LANE SUITE 1305 BRIDGEVILLE, PA 15017 | UPMC HEALTH OPTIONS | $2K | — | $2K | 2.85% |
| ENSCOE LONG INSURANCE GROUP LLC3 | 80 EMERSON LANE SUITE 1305 BRIDGEVILLE, PA 15017 | UPMC HEALTH OPTIONS | $1K | — | $1K | 2.77% |
| ENSCOE LONG INSURANCE GROUP LLC3 Filed as: ENSCOE LONG INSURANCE GROUP, LLC | 80 EMERSON LANE SUITE 1305 BRIDGEVILLE, PA 15017 | UPMC HEALTH OPTIONS | $1K | — | $1K | 3.10% |
| ENSCOE LONG INSURANCE GROUP LLC3 | 80 EMERSON LANE SUITE 1305 BRIDGEVILLE, PA 15017 | UNITED CONCORDIA DENTAL PLANS OF AMERICA, INC. | $766 | — | $766 | 3.02% |
| ENSCOE LONG INSURANCE GROUP LLC3 | 80 EMERSON LANE SUITE 1305 BRIDGEVILLE, PA 15017 | VISION BENEFITS OF AMERICA | $416 | — | $416 | 3.50% |
| ENSCOE LONG INSURANCE GROUP LLC3 | 80 EMERSON LANE SUITE 1305 BRIDGEVILLE, PA 15017 | UNITED OF OMAHA LIFE INSURANCE CO. | $629 | — | $629 | 10.00% |
| ENSCOE LONG INSURANCE GROUP LLC3 | 80 EMERSON LANE SUITE 1305 BRIDGEVILLE, PA 15017 | UPMC HEALTH OPTIONS | $139 | — | $139 | 3.53% |
| ENSCOE LONG INSURANCE GROUP LLC3 | 80 EMERSON LANE SUITE 1305 BRIDGEVILLE, PA 15017 | UPMC HEALTH OPTIONS | $52 | — | $52 | 4.81% |
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 | 123 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(12 contracts, 3 carriers) | UPMC HEALTH OPTIONS | 164 | $1.1M |
| Dental | UNITED CONCORDIA DENTAL PLANS OF AMERICA, INC. | 62 | $25K |
| Vision | VISION BENEFITS OF AMERICA | 122 | $12K |
| Life insurance | AMERICAN FIDELITY ASSURANCE COMPANY | 62 | $77K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 62 | $77K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 62 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 164 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.