| 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 | $13K | $63K | $75K | 3.85% |
| 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 | 7.10% |
| 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 | 2.78% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $693 | $693 | 1.16% |
| 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 | 7.17% |
| 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 | — | $2K | $2K | 2.94% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $721 | $721 | 1.22% |
| 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 | 12.63% |
| 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 | — | $510 | $510 | 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 | $3K | — | $3K | 11.69% |
| 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 | — | $903 | $903 | 3.02% |
| NFP INSURANCE SERVICES INC3 | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $376 | $376 | 1.26% |
| ANCILLARY BENEFITS CONSULTING LLC3 | 125 TECHNOLOGY DR STE 201 CANONSBURG, PA 15317 | AFLAC | $1K | — | $1K | 6.94% |
| WAYNE UZARSKI3 Filed as: WAYNE J UZARSKI | 125 TECHNOLOGY DR STE 201 CANONSBURG, PA 15317 | AFLAC | $1K | — | $1K | 6.64% |
| OLENKA UZARSKI3 | 104 VISTA DR CANONSBURG, PA 15317 | AFLAC | $714 | — | $714 | 3.64% |
| STEVE J PADGELEK3 | 5500 BROOKTREE RD STE 102 WEXFORD, PA 15090 | AFLAC | $135 | — | $135 | 0.69% |
| EVAN BENJAMIN GERSON3 | 521 SALEM HEIGHTS DR GIBSONIA, PA 15044 | AFLAC | $73 | — | $73 | 0.37% |
| JEFFREY CORREAL3 | 442 DUCK HOLLOW RD UNIONTOWN, PA 15401 | AFLAC | $72 | — | $72 | 0.37% |
| KHS BENEFITS LLC3 | 19 PHYLLIS DR IMPERIAL, PA 15126 | AFLAC | $48 | — | $48 | 0.24% |
| FREDERICK L ROSE3 | 3631 PUTTER POINT LN FORT MYERS, FL 33919 | AFLAC | $28 | — | $28 | 0.14% |
| BRIAN W PATTEN3 | 120 MARGUERITE DR STE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $21 | — | $21 | 0.11% |
| TYE ELLIOTT3 | 2315 W PINNACLE DR DUNLAP, IL 61525 | AFLAC | $12 | — | $12 | 0.06% |
| ANDREA STEARNS3 | PO BOX 323 BETHEL PARK, PA 15102 | AFLAC | $11 | — | $11 | 0.06% |
| JOY GRUBE PADGELEK3 | 1195 WASHINGTON PIKE SUITE 300 BRIDGEVILLE, PA 15017 | AFLAC | $9 | — | $9 | 0.05% |
| JAMES BRADLEY SEIFERT3 | 157 MCCOY PLACE RD SEWICKLEY, PA 15143 | AFLAC | $9 | — | $9 | 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 | $5 | — | $5 | 0.03% |
| 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% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK, INC | 115 VIP DRIVE, SUITE 300 WEXFORD, PA 15090 | HEARTLAND | $714 | — | $714 | 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 | 248 | 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) | 248 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 400 | $2.0M |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 400 | $2.0M |
| Vision | HEARTLAND | 366 | $14K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 234 | $109K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 216 | $59K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 216 | $30K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 234 | $129K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 400 | — |
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.