| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAWNNE PETTIT3 | 140 PARK AVE WASHINGTON, PA 15301 | HIGHMARK, INC. | $37K | — | $37K | 3.00% |
| MANAGED BENEFITS, INC.3 | 1565 MCFARLAND RD. PITTSBURGH, PA 15216 | HIGHMARK, INC. | $624 | — | $624 | 0.05% |
| DAWNNE PETTIT3 | 140 PARK AVE WASHINGTON, PA 15301 | HIGHMARK, INC. | $15K | — | $15K | 3.00% |
| MANAGED BENEFITS, INC.3 | 1565 MCFARLAND RD. PITTSBURGH, PA 15216 | HIGHMARK, INC. | $261 | — | $261 | 0.05% |
| DAWNNE PETTIT3 | 140 PARK AVE WASHINGTON, PA 15301 | HIGHMARK, INC. | $6K | — | $6K | 9.90% |
| MANAGED BENEFITS, INC.3 | 1565 MCFARLAND RD. PITTSBURGH, PA 15216 | HIGHMARK, INC. | $127 | — | $127 | 0.21% |
| DAWNNE PETTIT3 | 140 PARK AVE WASHINGTON, PA 15301 | HIGHMARK, INC. | $489 | — | $489 | 2.97% |
| MANAGED BENEFITS, INC.3 | 1565 MCFARLAND RD. PITTSBURGH, PA 15216 | HIGHMARK, INC. | $11 | — | $11 | 0.07% |
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 | 148 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 148 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK, INC. | 227 | $1.2M |
| Dental | HIGHMARK, INC. | 204 | $61K |
| Vision | HIGHMARK, INC. | 174 | $16K |
| Prescription drug | HIGHMARK, INC. | 227 | $496K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 227 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.