| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | 444 LIBERTY AVENUE SUITE 750 PITTSBURGH, PA 15222 | HIGHMARK, INC. | $112K | — | $112K | 1.21% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | 444 LIBERTY AVENUE SUITE 750 PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $12K | — | $12K | 1.01% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $2K | — | $2K | 0.20% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC. | 210 SIXTH AVENUE, 30TH FL. PITTSBURGH, PA 15222 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | $4K | $14K | 2.25% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | 444 LIBERTY AVE. SUITE 750 PITTSBURGH, PA 152221224 | METROPOLITAN LIFE INSURANCE COMPANY | $56K | $5K | $61K | 10.95% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | 444 LIBERTY AVENUE SUITE 750 PITTSBURGH, PA 15222 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $0 | $5K | 2.00% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | 444 LIBERTY AVE. SUITE 750 PITTSBURGH, PA 15222 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $338 | $0 | $338 | 2.00% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $71 | $1K | 10.64% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | FIRST UNUM LIFE INSURANCE COMPANY | $1K | $57 | $1K | 66.34% |
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 | 650 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 22 | 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) | 672 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HIGHMARK, INC. | 1,151 | $10.4M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,177 | $557K |
| Vision | HIGHMARK, INC. | 1,151 | $9.2M |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 964 | $237K |
| Short-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 37 | $13K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 893 | $643K |
| Prescription drug | HIGHMARK, INC. | 1,151 | $9.2M |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 963 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,177 | — |
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.