| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK INC | 115 VIP DRIVE STE 300 WEXFORD, PA 15090 | UNITED HEALTHCARE INSURANCE COMPANY | — | $84K | $84K | 3.62% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK INC | 115 VIP DRIVE, STE 300 WEXFORD, PA 15090 | UNITED CONCORDIA INSURANCE COMPANY | $13K | — | $13K | 8.36% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK INC | 115 VIP DRIVE , STE 300 WEXFORD, PA 15090 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 6.64% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK INC | 115 VIP DRIVE, STE 300 WEXFORD, PA 15090 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 6.75% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK INC | 115 VIP DRIVE, STE 300 WEXFORD, PA 15090 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 10.89% |
| ANCILLARY BENEFITS CONSULTING LLC3 | 125 TECHNOLOGY DR STE 201 CANONSBURG, PA 15317 | AFLAC | $5K | $26 | $5K | 14.04% |
| JEFFREY CORREAL3 | 125 TECHNOLOGY DR STE 201 CANONSBURG, PA 15317 | AFLAC | $354 | — | $354 | 1.05% |
| STEVE J PADGELEK3 Filed as: STEVE PADGELEK | 5500 BROOKTREE RD STE 102 WEXFORD, PA 15090 | AFLAC | $300 | — | $300 | 0.89% |
| MARIO HAIFA3 | 216 WARWICK DR PITTSBURGH, PA 15241 | AFLAC | $218 | — | $218 | 0.65% |
| STACY PATRICK3 | 19 PHYLLIS DR IMPERIAL, PA 15126 | AFLAC | $176 | — | $176 | 0.52% |
| EVAN GERSON3 | 321 N CLARK ST STE 625 CHICAGO, IL 60654 | AFLAC | $173 | — | $173 | 0.51% |
| AARON CARD3 | 448 FRUITWOOD DR BETHEL PARK, PA 15102 | AFLAC | $158 | — | $158 | 0.47% |
| ANDREA STEARNS3 | PO BOX 323 BETHEL PARK, PA 15102 | AFLAC | $77 | — | $77 | 0.23% |
| FREDERICK L ROSE3 Filed as: FREDERICK ROSE | 3631 PUTTER POINT LN FORT MYERS, FL 33919 | AFLAC | $67 | — | $67 | 0.20% |
| BRIAN W PATTEN3 Filed as: BRIAN PATTEN | 120 MARGUERITE DR STE 101 CRANBERRY TOWNSHIP, PA 15066 | AFLAC | $50 | — | $50 | 0.15% |
| JAMES B. SEIFERT3 Filed as: JAMES SEIFERT | 157 MCCOY PLACE RD SEWICKLEY, PA 15143 | AFLAC | $34 | $4 | $38 | 0.11% |
| TYE ELLIOTT3 | 1300 N INDEPENDENCE CT GERMANTOWN HILLS, IL 61548 | AFLAC | $30 | — | $30 | 0.09% |
| JOY GRUBE PADGELEK3 Filed as: JOY PADGELEK | 1195 WASHINGTON PIKE SUITE 300 BRIDGEVILLE, PA 15017 | AFLAC | $28 | — | $28 | 0.08% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN DRAY | 123 THOMAS RD MCMURRAY, PA 15317 | AFLAC | $15 | — | $15 | 0.04% |
| THE TORRES GROUP LLC3 | 1750 FARMINTON CIRCLE WELLINTON, TN 37919 | AFLAC | $15 | — | $15 | 0.04% |
| JAMES BRANDT3 | 47 MARVIN STREET PORT MATILDA, PA 16870 | AFLAC | $14 | — | $14 | 0.04% |
| BARBARA WEISSMAN3 | 1495 EAST 24TH STREET BROOKLYN, NY 11210 | AFLAC | $11 | — | $11 | 0.03% |
| ASHTON CONSULTING INC3 | 3606 RIDGEVIEW DRIVE STE 200 COLUMBIA, MO 65203 | AFLAC | $10 | — | $10 | 0.03% |
| TIMOTHY R QUINLAN3 Filed as: TIMOTHY QUINLAN | 137 SEMICONON LN RENFREW, PA 16053 | AFLAC | $7 | — | $7 | 0.02% |
| HEATHER BARTLEY3 | 120 MARGUERITE DRIVE SUITE 101 CRANBERRY TWP, PA 16066 | AFLAC | $5 | — | $5 | 0.01% |
| TERESA L FOUTZ3 Filed as: TERESA FOUTZ | 1877 LEALAND AVE POLAND, OH 44514 | AFLAC | $5 | — | $5 | 0.01% |
| EUGENE MAMMOME3 | 15 HERITAGE LN EXTON, PA 19341 | AFLAC | $1 | — | $1 | 0.00% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK, INC | 115 VIP DRIVE, SUITE 300 WEXFORD, PA 15090 | HEARTLAND | $797 | — | $797 | 5.00% |
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 | 240 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 243 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 455 | $2.3M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 514 | $158K |
| Vision | HEARTLAND | 507 | $16K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 262 | $65K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 253 | $66K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 253 | $34K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 262 | $98K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 514 | — |
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.