| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANDERSON BENEFIT SOLUTIONS3 Filed as: ANDERSON & KIME EMPLOYEE BENEFITS | — | HIGHMARK INC. | $57K | — | $57K | 3.04% |
| ANDERSON BENEFIT SOLUTIONS3 Filed as: ANDERSON & KIME EMPLOYEE BENEFITS | PO BOX 507 212 MAIN STREET RIDGWAY, PA 15845 | DEARBORN LIFE INSURANCE COMPANY | $15K | — | $15K | 9.20% |
| CHARLENE M KOSKO3 Filed as: CHARLENE M GEORGEK | 574 TREASURE LAKE DU BOIS, PA 15801 | AFLAC | $3K | $124 | $3K | 7.93% |
| PEGGY LYNN STORMER3 | 244 MCANINCH ROAD BROOKVILLE, PA 15825 | AFLAC | $1K | $33 | $1K | 2.80% |
| BENJAMIN T AARON3 | 301 LIBERTY STREET CLARION, PA 16214 | AFLAC | $764 | $41 | $805 | 1.85% |
| ALLEN KEITH PONTIOUS3 | 1139 PERSHING AVENUE BROCKWAY, PA 15824 | AFLAC | $226 | — | $226 | 0.52% |
| BILLY M CRAIN3 | 1026 RHODES LANE BROOKVILLE, PA 15825 | AFLAC | $220 | — | $220 | 0.51% |
| LICHVARCIK INS AGCY3 | 94 HILL TOP DRIVE REYNOLDSVILLE, PA 15851 | AFLAC | $209 | — | $209 | 0.48% |
| SHARI LEARISH3 | 524 EAST 11TH STREET CLEARFIELD, PA 16830 | AFLAC | $200 | — | $200 | 0.46% |
| AMANDA STEIN3 | 1277 RHODES LANE BROOKVILLE, PA 15825 | AFLAC | $93 | — | $93 | 0.21% |
| JEROME M GAVAZZI3 | 212 HAND STREET DUBOIS, PA 15801 | AFLAC | $82 | — | $82 | 0.19% |
| KAREN S NOSKER3 | 1037 BELL RUN ROAD REYNOLDSVILLE, PA 15851 | AFLAC | $78 | — | $78 | 0.18% |
| BRIAN DEE MOWREY3 | 28 SYKES STREET SYKESVILLE, PA 15865 | AFLAC | $76 | — | $76 | 0.17% |
| JERRY R CROASMAN3 | 1056 PIKE ROAD PUNXSUTAWNEY, PA 15767 | AFLAC | $51 | — | $51 | 0.12% |
| MARY P KING3 | 255 TREASURE LAKE DUBOIS, PA 15801 | AFLAC | $45 | — | $45 | 0.10% |
| LYDIA E MCMURRAY3 | 1102 EUREKA TRAIL LONGS, SC 29568 | AFLAC | $43 | — | $43 | 0.10% |
| TIMOTHY R QUINLAN3 | 137 SEMICONON LANE RENFREW, PA 16053 | AFLAC | $38 | — | $38 | 0.09% |
| MARIO HAIFA3 | 216 WARWICK DRIVE PITTSBURGH, PA 15241 | AFLAC | $33 | — | $33 | 0.08% |
| DANA L SPITTLER3 | PO BOX 91 EAST SMETHPORT, PA 16730 | AFLAC | $29 | — | $29 | 0.07% |
| KAREN L MICHELITSCH3 | 4020 ROUTE 28 NORTH BROOKVILLE, PA 15825 | AFLAC | $28 | — | $28 | 0.06% |
| RUTH E CURRY3 | PO BOX 106 FORD CITY, PA 16226 | AFLAC | $27 | — | $27 | 0.06% |
| VINCENT A DECHURCH JR3 | 339 TREASURE LAKE LOT 146 SECTION 15 CARRIBEAN ROAD DUBOIS, PA 15801 | AFLAC | $26 | — | $26 | 0.06% |
| CANDACE D PARSON3 | 550 TAYLOR STREET BROOKVILLE, PA 15825 | AFLAC | $26 | — | $26 | 0.06% |
| STEVEN J LICHVARCIK3 | PO BOX 899 DUBOIS, PA 15801 | AFLAC | $24 | — | $24 | 0.06% |
| RICK D GORDON3 | 111 SOUTH HIGHLAND STREET DUBOIS, PA 15801 | AFLAC | $23 | — | $23 | 0.05% |
| BRIAN TODD KAUFFMAN3 | 3009 WILMINGTON ROAD NEW CASTLE, PA 16105 | AFLAC | $20 | — | $20 | 0.05% |
| AARON PAUL CONNER3 | 108 GOLF ALY NEW BETHLEHEM, PA 16242 | AFLAC | $18 | — | $18 | 0.04% |
| EDGAR GENE CONNER3 | 286 ACME STREET RIMERSBURG, PA 16248 | AFLAC | $18 | — | $18 | 0.04% |
| DENNIS L HULSE3 | 240 PARALLEL STREET PLEASANTVILLE, PA 16341 | AFLAC | $18 | — | $18 | 0.04% |
| BRIAN W PATTEN3 | 120 MARGUERITE DRIVE SUITE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $17 | — | $17 | 0.04% |
| DOMINICK J LACARIA3 | 216 ROSCOMMON PLACE MCMURRAY, PA 15317 | AFLAC | $12 | — | $12 | 0.03% |
| KEVIN W CROOKS3 | 47 RESERVOIR ROAD REYNOLDSVILLE, PA 15851 | AFLAC | $9 | — | $9 | 0.02% |
| HEATHER HAAG3 | 107 GEIST WAY BROOKVILLE, PA 15825 | AFLAC | $9 | — | $9 | 0.02% |
| JOY GRUBE PADGELEK3 | 1195 WASHINGTON PIKE SUITE 300 BRIDGEVILLE, PA 15017 | AFLAC | $9 | — | $9 | 0.02% |
| RYAN CAVALLINE3 | 138 CHERRY ROAD KERSEY, PA 15846 | AFLAC | $8 | — | $8 | 0.02% |
| VICKI J VELTRI3 | 1175 BALKAN DRIVE PITTSBURGH, PA 15239 | AFLAC | $7 | — | $7 | 0.02% |
| BONNIE B HOCKINS3 | 12 SKY CLIFF PLACE LOVINGSTON, VA 22949 | AFLAC | $6 | — | $6 | 0.01% |
| TYE ELLIOTT3 | 1300 NORTH INDEPENDENCE COURT GERMANTOWN HILLS, IA 61548 | AFLAC | $5 | — | $5 | 0.01% |
| THE TORRES GROUP LLC3 | 1750 FARMINTON CIRCLE WELLINTON, TN 37919 | AFLAC | $4 | — | $4 | 0.01% |
| JAMES DAVID PORTERFIELD3 | PO BOX 3041 ELKINS, WV 26241 | AFLAC | $3 | — | $3 | 0.01% |
| MARTHA G ALLEN3 | 412 WASHINGTON STREET NEW BETHLEHEM, PA 16242 | AFLAC | $2 | — | $2 | 0.00% |
| JOHN PETERSON3 | 1027 WINDFALL ROAD SAINT MARYS, PA 15857 | AFLAC | $2 | — | $2 | 0.00% |
| JOHN P FRICK3 | 724 HIGH STREET EXTENSION DUNBAR, PA 15431 | AFLAC | $2 | — | $2 | 0.00% |
| SHARON R GRANT3 | 96 SILVER OAKS CIRCLE APARTMENT 1104 NAPLES, FL 34119 | AFLAC | $1 | — | $1 | 0.00% |
| ALLEN E POWELL SR3 | 245 CENTRAL AVENUE EXTENSION BROOKVILLE, PA 15825 | AFLAC | $1 | — | $1 | 0.00% |
| KRISTIN J QUINLAN3 | 137 SEMICONON LANE RENFREW, PA 16053 | AFLAC | $1 | — | $1 | 0.00% |
| MELISSA DAWN MCCLAIN3 | 104 WITHEROW ROAD SEWICKLEY, PA 15143 | AFLAC | $1 | — | $1 | 0.00% |
| JAMES G BRANDT3 | 47 MARVIN STREET PORT MATILDA, PA 16870 | AFLAC | $1 | — | $1 | 0.00% |
| MELORA M MCNUTT3 | 373 MCMANIGLE ROAD BROOKVILLE, PA 15825 | AFLAC | $1 | — | $1 | 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 | 184 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 14 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 204 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK INC. | 155 | $1.9M |
| Vision | HIGHMARK INC. | 155 | $1.9M |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 183 | $163K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 183 | $163K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 183 | $163K |
| Other(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 183 | $206K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 183 | — |
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.