| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HENDERSON BROTHERS, INC.3 Filed as: HENDERSON BROTHERS INC | 920 FORT DUQUESNE BLVD PITTSBURGH, PA 152223602 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $2K | $7K | 17.36% |
| HALEY E SCHMITT3 | 329 STANFORD AVE PITTSBURGH, PA 15229 | AFLAC | $3K | $28 | $3K | 8.47% |
| JACKIE ODONNELL3 | 327 STANFORD AVE PITTSBURGH, PA 15229 | AFLAC | $3K | $6 | $3K | 8.40% |
| SJP & ASSOCIATES3 Filed as: SJP & ASSOCIATES INC | 504 S MAIN STREET STE 101 ZELINOPLE, PA 15212 | AFLAC | $2K | $46 | $2K | 5.55% |
| ASHLEE O'DONNELL3 Filed as: ASHLEE ODONNELL | 504 S MAIN STREET SUITE 101 ZELIENOPLE, PA 16063 | AFLAC | $1K | — | $1K | 4.19% |
| RIFFE CONSULTING GROUP LLC3 | 203 MEADOWBROOK DR CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $963 | $47 | $1K | 3.14% |
| CAROLYN M CANDEBAT3 | 715 DUNCAN AVE APT 820 PITTSBURGH, PA 15237 | AFLAC | $195 | $107 | $302 | 0.94% |
| CAROLINE OVIAL3 | 300 PERSHING ST ELLWOOD CITY, PA 16117 | AFLAC | $270 | — | $270 | 0.84% |
| MATTHEW S MCCLAY3 Filed as: MATTHEW SCHAAL | 180 HAMPSHIRE DR CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $145 | $70 | $215 | 0.67% |
| TEMPLE K WOODLEY3 | 2014 REIS RUN RD PITTSBURGH, PA 15237 | AFLAC | $196 | — | $196 | 0.61% |
| ETHAN R. RIFFE3 Filed as: ETHAN R RIFFE | 203 MEADOWBROOK DR CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $176 | — | $176 | 0.55% |
| MARIO HAIFA3 | 1195 WASHINGTON PIKE STE 300 BRIDGEVILLE, PA 15017 | AFLAC | $126 | $37 | $163 | 0.51% |
| STEVE J PADGELEK3 | 540 SOUTH MAIN STREET STE 101 ZELIENOPLE, PA 16063 | AFLAC | $33 | $13 | $46 | 0.14% |
| RUSSELL L WARYE3 Filed as: RUSSELL L WOODLEY | 2014 REIS RUN ROAD PITTSBURGH, PA 15237 | AFLAC | $43 | — | $43 | 0.13% |
| TYE ELLIOTT3 | 1300 N INDEPENDENCE CT GERMANTOWN HILLS, IL 61548 | AFLAC | $12 | — | $12 | 0.04% |
| AMANDA TROIANO3 | 8870 KIND DR PITTSBURGH, PA 15237 | AFLAC | $8 | — | $8 | 0.02% |
| STEVE J PADGELEK3 | 810 RIVER AVE STE 230 PITTSBURGH, PA 15212 | AFLAC | $2 | — | $2 | 0.01% |
| HENDERSON BROTHERS, INC.3 Filed as: HENDERSON BROTHERS INC | 920 FORT DUQUESNE BLVD PITTSBURGH, PA 152223602 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 13.56% |
| HENDERSON BROTHERS, INC.3 Filed as: HENDERSON BROTHERS INC. | 920 FORT DUQUESNE BLVD PITTSBURGH, PA 152223602 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $599 | $2K | 14.69% |
| HENDERSON BROTHERS, INC.3 Filed as: HENDERSON BROTHERS INC | 920 FORT DUQUESNE BLVD PITTSBURGH, PA 152223602 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $365 | $2K | 18.82% |
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 | 171 | 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) | 172 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 192 | $1.2M |
| Dental | AETNA LIFE INSURANCE COMPANY | 192 | $1.2M |
| Vision | VISION BENEFITS OF AMERICA | 114 | $8K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 171 | $53K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 87 | $30K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 74 | $10K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 171 | $85K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 192 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.