| 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 | $4K | $53K | $57K | 2.61% |
| 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 | 7.38% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $748 | $748 | 1.33% |
| ANCILLARY BENEFITS CONSULTING LLC3 | 125 TECHNOLOGY DR STE 201 CANONSBURG, PA 15317 | AFLAC | $4K | $220 | $4K | 7.95% |
| STEVE J PADGELEK3 | 5500 BROOKTREE RD STE 102 WEXFORD, PA 15090 | AFLAC | $483 | — | $483 | 0.93% |
| ANCILLARY BENEFITS CONSULTING LLC3 | 1195 WASHINGTON PIKE STE 340 BRIDGEVILLE, PA 15017 | AFLAC | $391 | — | $391 | 0.75% |
| MARIO HAIFA3 | 216 WARWICK DR PITTSBURGH, PA 15241 | AFLAC | $309 | — | $309 | 0.59% |
| EVAN BENJAMIN GERSON3 | 521 SALEM HEIGHTS DR GIBSONIA, PA 15044 | AFLAC | $133 | — | $133 | 0.26% |
| EVAN GERSON3 | 521 SALEM HEIGHTS DR GIBSONIA, PA 15044 | AFLAC | $129 | — | $129 | 0.25% |
| JEFFREY CORREAL3 | 125 TECHNOLOGY DR STE 201 CANONSBURG, PA 15317 | AFLAC | $82 | $40 | $122 | 0.23% |
| STACY PATRICK3 | 19 PHYLLIS DR IMPERIAL, PA 15126 | AFLAC | $117 | — | $117 | 0.22% |
| FREDERICK L ROSE3 | 3631 PUTTER POINT LN FORT MYERS, FL 33919 | AFLAC | $108 | — | $108 | 0.21% |
| JEFFREY CORREAL3 | 442 DUCK HOLLOW RD UNIONTOWN, PA 15401 | AFLAC | $93 | — | $93 | 0.18% |
| ANDREA STEARNS3 | PO BOX 323 BETHEL PARK, PA 15102 | AFLAC | $86 | — | $86 | 0.17% |
| BRIAN W PATTEN3 | 120 MARGUERITE DR STE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $78 | — | $78 | 0.15% |
| AARON DANIEL GANDER3 Filed as: AARON M CARD | 223 RAMSEY AVE BRIDGEVILLE, PA 15017 | AFLAC | $48 | $17 | $65 | 0.12% |
| JEFFREY CORREAL3 | 420 JENNY LN UNIONTOWN, PA 15401 | AFLAC | $51 | — | $51 | 0.10% |
| TYE ELLIOTT3 | 1300 N INDEPENDENCE CT GERMANTOWN HILLS, IL 61548 | AFLAC | $48 | — | $48 | 0.09% |
| KHS BENEFITS LLC | 19 PHYLLIS DR IMPERIAL, PA 15126 | AFLAC | $46 | — | $46 | 0.09% |
| JOY GRUBE PADGELEK3 | 1195 WASHINGTON PIKE SUITE 300 BRIDGEVILLE, PA 15017 | AFLAC | $39 | — | $39 | 0.07% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN DRAY | 123 THOMAS RD MCMURRAY, PA 15317 | AFLAC | $31 | — | $31 | 0.06% |
| THE TORRES GROUP LLC3 | 1750 FARMINTON CIRCLE WELLINTON, TN 37919 | AFLAC | $26 | — | $26 | 0.05% |
| JAMES BRANDT3 | 47 MARVIN STREET PORT MATILDA, PA 16870 | AFLAC | $21 | — | $21 | 0.04% |
| JAMES BRADLEY SEIFERT3 | 157 MCCOY PLACE RD SEWICKLEY, PA 15143 | AFLAC | $20 | — | $20 | 0.04% |
| ASHTON CONSULTING INC3 | 3606 RIDGEVIEW DRIVE STE 200 COLUMBIA, MO 65203 | AFLAC | $20 | — | $20 | 0.04% |
| DOMENIC D PRESUTTI | 108 ANDREWS DR GEORGETOWN, PA 15043 | AFLAC | $20 | — | $20 | 0.04% |
| TIMOTHY R QUINLAN3 | 137 SEMICONON LN RENFREW, PA 16053 | AFLAC | $12 | — | $12 | 0.02% |
| BARBARA WEISSMAN3 | 1495 EAST 24TH STREET BROOKLYN, NY 11210 | AFLAC | $9 | — | $9 | 0.02% |
| HEATHER BARTLEY3 | 120 MARGUERITE DRIVE SUITE 101 CRANBERRY TWP, PA 16066 | AFLAC | $4 | — | $4 | 0.01% |
| TERESA L FOUTZ3 Filed as: TERESA FOUTZ | 1877 LEALAND AVE POLAND, OH 44514 | AFLAC | $4 | — | $4 | 0.01% |
| KRISTIN J QUINLAN | 137 SEMICONON LN RENFREW, PA 16053 | AFLAC | $1 | — | $1 | 0.00% |
| 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 | 7.92% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $692 | $692 | 1.36% |
| 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 | $5K | — | $5K | 13.77% |
| 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 | $3K | — | $3K | 11.98% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $382 | $382 | 1.33% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK, INC | 115 VIP DRIVE, SUITE 300 WEXFORD, PA 15090 | HEARTLAND | $612 | — | $612 | 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 | 165 | 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) | 165 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 409 | $2.2M |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 409 | $2.2M |
| Vision | HEARTLAND | 374 | $12K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 206 | $88K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 202 | $56K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 202 | $29K |
| Other(3 contracts, 2 carriers) | AFLAC | 206 | $141K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 409 | — |
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.