| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC | 210 SIXTH AVE 30TH FLOOR PITTSBURGH, PA 15222 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $12K | $3K | $15K | 6.13% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $602 | $80 | $682 | 7.26% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK, INC. EIN 23-1294723 CLAIMS ADMINISTRATION | Contract Administrator; Claims processing Service code 12 | 120 FIFTH AVENUE PITTSBURGH, PA 15222 | $714K |
| LIBERTY LIFE ASSURANCE COMPANY OF B EIN 04-6076039 CLAIMS ADMINISTRATION | Claims processing; Contract Administrator Service code 12 | 100 LIBERTY WAY DOVER, NH 03820 | $108K |
| UNITED CONCORDIA COMPANIES, INC. EIN 25-1687586 CLAIMS ADMINISTRATION | Contract Administrator; Claims processing Service code 12 | 4401 DEER PATH ROAD HARRISBURG, PA 17110 | $71K |
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 | 2,372 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 23 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,395 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | HM LIFE INSURANCE COMPANY | 3,925 | $219K |
| Short-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 20 | $9K |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2,182 | $244K |
| Other | MAGELLAN HEALTHCARE | 2,346 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,925 | — |
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."
No prospect flags tripped on this filing.