| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTION LLC | 444 LIBERTY AVENUE SUITE 750 PITTSBURGH, PA 15222 | HIGHMARK INC. | $115K | $0 | $115K | 1.10% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | 444 LIBERTY AVENUE SUITE 750 PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $12K | $0 | $12K | 1.09% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | 444 LIBERTY AVENUE SUITE 750 PITTSBURGH, PA 15222 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | $5K | $15K | 2.36% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | 444 LIBERTY AVENUE SUITE 750 PITTSBURGH, PA 15222 | METROPOLITAN LIFE INSURANCE COMPANY | $58K | $5K | $63K | 10.74% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | 444 LIBERTY AVENUE SUITE 750 PITTSBURGH, PA 15222 | RELIANCE STANDARD | $5K | $0 | $5K | 2.00% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | 444 LIBERTY AVENUE SUITE 750 PITTSBURGH, PA 15222 | RELIANCE STANDARD | $346 | $0 | $346 | 2.00% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | 444 LIBERTY AVENUE SUITE 750 PITTSBURGH, PA 15222 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $96 | $1K | 10.74% |
| THOMAS W BOSTON3 Filed as: THOMAS FINANCIAL GROUP | 5550 W EXECUTIVE DRIVE SUITE 500 TAMPA, FL 33609 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $483 | $59 | $542 | 5.79% |
| EVEREST INSURANCE SOLUTIONS INC.3 | BOX 499 STE 106 701 S. HOWARD AVE TAMPA, FL 33606 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $275 | $0 | $275 | 2.94% |
| M FINANCIAL HOLDINGS INC3 Filed as: M FINANCIAL HOLDINGS INC. | SUITE 900 1125 NW COUCH ST. PORTLAND, OR 97209 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $15 | $15 | 0.16% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | 444 LIBERTY AVENUE SUITE 750 PITTSBURGH, PA 15222 | FIRST UNUM LIFE INSURANCE | $117 | $6 | $123 | 8.63% |
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 | 688 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 20 | 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) | 708 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HIGHMARK INC. | 1,273 | $11.5M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,234 | $587K |
| Vision | HIGHMARK INC. | 1,273 | $10.5M |
| Life insurance | RELIANCE STANDARD | 973 | $252K |
| Short-term disability(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 38 | $24K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 970 | $656K |
| Prescription drug(2 contracts, 2 carriers) | HIGHMARK INC. | 1,273 | $11.5M |
| Other | RELIANCE STANDARD | 974 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,273 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.