| 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 | HIGHMARK INC | $44K | — | $44K | 3.00% |
| 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 | 8.04% |
| 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 | 5.82% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $599 | $599 | 1.21% |
| 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 | 8.19% |
| 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 | 5.61% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $550 | $550 | 1.17% |
| 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 | 15.00% |
| 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 | — | $2K | $2K | 5.97% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $342 | $342 | 1.24% |
| 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 | 13.09% |
| 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 | — | $1K | $1K | 5.89% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $298 | $298 | 1.23% |
| ANCILLARY BENEFITS CONSULTING LLC3 | 125 TECHNOLOGY DR STE 201 CANONSBURG, PA 15317 | AFLAC | $2K | — | $2K | 9.52% |
| STEVE J PADGELEK3 | 5500 BROOKTREE RD STE 102 WEXFORD, PA 15090 | AFLAC | $137 | — | $137 | 0.75% |
| EVAN BENJAMIN GERSON3 | 521 SALEM HEIGHTS DR GIBSONIA, PA 15044 | AFLAC | $105 | — | $105 | 0.58% |
| OLENKA UZARSKI3 | 104 VISTA DR CANONSBURG, PA 15317 | AFLAC | $94 | — | $94 | 0.52% |
| KHS BENEFITS LLC3 | 19 PHYLLIS DR IMPERIAL, PA 15126 | AFLAC | $77 | — | $77 | 0.42% |
| JEFFREY CORREAL3 | 442 DUCK HOLLOW RD UNIONTOWN, PA 15401 | AFLAC | $72 | — | $72 | 0.40% |
| WAYNE UZARSKI3 Filed as: WAYNE J UZARSKI | 125 TECHNOLOGY DR STE 201 CANONSBURG, PA 15317 | AFLAC | $49 | — | $49 | 0.27% |
| FREDERICK L ROSE3 | 3631 PUTTER POINT LN FORT MYERS, FL 33919 | AFLAC | $33 | — | $33 | 0.18% |
| BRIAN W PATTEN3 | 120 MARGUERITE DR STE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $25 | — | $25 | 0.14% |
| ANDREA STEARNS3 | PO BOX 323 BETHEL PARK, PA 15102 | AFLAC | $16 | — | $16 | 0.09% |
| JOY GRUBE PADGELEK3 | 1195 WASHINGTON PIKE SUITE 300 BRIDGEVILLE, PA 15017 | AFLAC | $13 | — | $13 | 0.07% |
| TYE ELLIOTT3 | 2315 W PINNACLE DR DUNLAP, IL 61525 | AFLAC | $12 | — | $12 | 0.07% |
| JAMES BRADLEY SEIFERT3 | 157 MCCOY PLACE RD SEWICKLEY, PA 15143 | AFLAC | $9 | — | $9 | 0.05% |
| JOHN W DRAY3 | 123 THOMAS RD MCMURRAY, PA 15317 | AFLAC | $8 | — | $8 | 0.04% |
| ASHTON CONSULTING INC3 | 5962 SCREAMING EAGLE LN COLUMBIA, MO 65201 | AFLAC | $6 | — | $6 | 0.03% |
| THE TORRES GROUP LLC3 | 1750 FARMINTON CIRCLE WELLINTON, TN 37919 | AFLAC | $6 | — | $6 | 0.03% |
| JAMES G BRANDT3 | 47 MARVIN STREET PORT MATILDA, PA 16870 | AFLAC | $6 | — | $6 | 0.03% |
| DOMENIC D PRESUTTI3 | 108 ANDREWS DR GEORGETOWN, PA 15043 | AFLAC | $4 | — | $4 | 0.02% |
| TIMOTHY R QUINLAN3 | PO BOX 387 CONNOQUENESSING, PA 16027 | AFLAC | $4 | — | $4 | 0.02% |
| BARBARA WEISSMAN3 | 1495 EAST 24TH STREET BROOKLYN, NY 11210 | AFLAC | $4 | — | $4 | 0.02% |
| CHRISTOPHER M ASHTON3 | 5962 SCREAMING EAGLE LN COLUMBIA, MO 65201 | AFLAC | $4 | — | $4 | 0.02% |
| HEATHER BARTLEY3 | 120 MARGUERITE DRIVE SUITE 101 CRANBERRY TWP, PA 16066 | AFLAC | $2 | — | $2 | 0.01% |
| DANIEL E TORRES3 | 301 JAMESON CT SEVEN FIELDS, PA 16046 | AFLAC | $2 | — | $2 | 0.01% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK, INC | 115 VIP DRIVE, SUITE 300 WEXFORD, PA 15090 | HEARTLAND | $486 | — | $486 | 4.99% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK, INC | 115 VIP DRIVE, SUITE 300 WEXFORD, PA 15090 | HEARTLAND | $26 | — | $26 | 4.91% |
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 | 195 | 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) | 195 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK INC | 324 | $1.5M |
| Dental | HIGHMARK INC | 324 | $1.5M |
| Vision(2 contracts) | HEARTLAND | 310 | $10K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 199 | $75K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 184 | $49K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 184 | $24K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 199 | $93K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 324 | — |
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.