| 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 | — | $47K | $47K | 3.20% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK INC | 115 VIP DRIVE STE 300 WEXFORD, PA 15090 | UNITED HEALTHCARE INSURANCE COMPANY | $10K | — | $10K | 9.95% |
| 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 | 7.43% |
| 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 | 2.50% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $582 | $582 | 1.04% |
| 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 | $4K | — | $4K | 7.62% |
| 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 | 2.47% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $552 | $552 | 1.03% |
| 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 | $6K | — | $6K | 13.61% |
| 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 | — | $893 | $893 | 2.07% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $372 | $372 | 0.86% |
| 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 | 11.81% |
| 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 | — | $688 | $688 | 2.34% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $287 | $287 | 0.98% |
| ANCILLARY BENEFITS CONSULTING LLC3 | 125 TECHNOLOGY DR STE 201 CANONSBURG, PA 15317 | AFLAC | $1K | $26 | $1K | 8.33% |
| STEVE J PADGELEK3 | 5500 BROOKTREE RD STE 102 WEXFORD, PA 15090 | AFLAC | $135 | — | $135 | 0.80% |
| EVAN BENJAMIN GERSON3 | 521 SALEM HEIGHTS DR GIBSONIA, PA 15044 | AFLAC | $96 | — | $96 | 0.57% |
| JEFFREY CORREAL3 | 442 DUCK HOLLOW RD UNIONTOWN, PA 15401 | AFLAC | $72 | — | $72 | 0.42% |
| KHS BENEFITS LLC3 | 19 PHYLLIS DR IMPERIAL, PA 15126 | AFLAC | $53 | — | $53 | 0.31% |
| OLENKA UZARSKI3 | 104 VISTA DR CANONSBURG, PA 15317 | AFLAC | $37 | $6 | $43 | 0.25% |
| FREDERICK L ROSE3 | 3631 PUTTER POINT LN FORT MYERS, FL 33919 | AFLAC | $31 | — | $31 | 0.18% |
| BRIAN W PATTEN3 | 120 MARGUERITE DR STE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $24 | — | $24 | 0.14% |
| JOY GRUBE PADGELEK3 | 1195 WASHINGTON PIKE SUITE 300 BRIDGEVILLE, PA 15017 | AFLAC | $12 | — | $12 | 0.07% |
| TYE ELLIOTT3 | 2315 W PINNACLE DR DUNLAP, IL 61525 | AFLAC | $12 | — | $12 | 0.07% |
| ANDREA STEARNS3 | PO BOX 323 BETHEL PARK, PA 15102 | AFLAC | $11 | — | $11 | 0.06% |
| JAMES BRADLEY SEIFERT3 | 157 MCCOY PLACE RD SEWICKLEY, PA 15143 | AFLAC | $9 | — | $9 | 0.05% |
| CHRISTOPHER M ASHTON3 | 5962 SCREAMING EAGLE LN COLUMBIA, MO 65201 | AFLAC | $8 | — | $8 | 0.05% |
| DANIEL E TORRES3 | 301 JAMESON CT SEVEN FIELDS, PA 16046 | AFLAC | $7 | — | $7 | 0.04% |
| JAMES G BRANDT3 | 47 MARVIN STREET PORT MATILDA, PA 16870 | AFLAC | $6 | — | $6 | 0.04% |
| JOHN W DRAY3 | 2155 GLENHURST DR SNELLVILLE, GA 30078 | AFLAC | $6 | — | $6 | 0.04% |
| BARBARA WEISSMAN3 | 1495 EAST 24TH STREET BROOKLYN, NY 11210 | AFLAC | $4 | — | $4 | 0.02% |
| TIMOTHY R QUINLAN3 | PO BOX 387 CONNOQUENESSING, PA 16027 | AFLAC | $3 | — | $3 | 0.02% |
| HEATHER BARTLEY3 | 120 MARGUERITE DRIVE SUITE 101 CRANBERRY TWP, PA 16066 | AFLAC | $2 | — | $2 | 0.01% |
| JOHN W DRAY3 | 123 THOMAS RD MCMURRAY, PA 15317 | AFLAC | $1 | — | $1 | 0.01% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK, INC | 115 VIP DRIVE, SUITE 300 WEXFORD, PA 15090 | HEARTLAND | $501 | — | $501 | 5.00% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK, INC | 115 VIP DRIVE, SUITE 300 WEXFORD, PA 15090 | HEARTLAND | $21 | — | $21 | 4.92% |
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 | 224 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 226 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 160 | $1.5M |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 164 | $105K |
| Vision(2 contracts) | HEARTLAND | 332 | $10K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 223 | $97K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 211 | $56K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 211 | $29K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 223 | $114K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 332 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.