| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 Filed as: LILLIS, MCKIBBEN BONGIOVANNI AND CO | 305 WEST 6TH STREET ERIE, PA 16507 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $5K | $14K | 19.50% |
| LILLIS MCKIBBEN BONGIOVANNI AND CO.3 Filed as: LILLIS, MCKIBBEN BONGIOVANNI AND CO | 305 WEST 6TH STREET ERIE, PA 16507 | UNITED OF OMAHA LIFE COMPANY | $8K | $933 | $9K | 15.05% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN HEALTH NONE | Claims processing Service code 12 | 300 CORPORATE PARKWAY AMHERST, PA 14226 | $74K |
| FRISSORA & ASSOCIATES, LLC EIN 81-1579449 NONE | Contract Administrator Service code 13 | 103 BRADFORD RD WEXFORD, PA 15090 | $30K |
| AMCA EIN 27-4500606 NONE | Claims processing Service code 12 | 101 BRADFORD RD WEXFORD, PA 15090 | $11K |
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 | 145 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 145 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 192 | $128K |
| Long-term disability(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 192 | $128K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 152 | $321K |
| 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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.