| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 10877 WHITE ROCK RD STE 300 RANCHO CORDOVA, CA 95670 | UPMC HEALTH OPTIONS | $25K | — | $25K | 1.49% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | SIX PPG PLACE SUITE 200 PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $16K | — | $16K | 0.96% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SVCS LLC | MID ATLANTIC PO BOX 61007 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $182 | $7K | $7K | 7.61% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 225 NE MIZNER BLVD STE 675 BOCA RATON, FL 33432 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 5.40% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 301 GRANT ST. SUITE 470 PITTSBURGH, PA 15219 | DELTA DENTAL OF PENNSYLVANIA | $3K | — | $3K | 4.60% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | PO BOX 62817 VIRGINIA BEACH, VA 23466 | DELTA DENTAL OF PENNSYLVANIA | $253 | — | $253 | 0.40% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 225 NE MIZNER BLVD STE 675 BOCA RATON, FL 33432 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 9.23% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SCVS LLC | MID ATLANTIC PO BOX 61007 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $164 | $2K | $2K | 7.94% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 225 NE MIZNER BLVD STE 675 BOCA RATON, FL 33432 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 12.98% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SVCS LLC | MID ATLANTIC PO BOX 61007 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $159 | $1K | $2K | 8.16% |
| HAYS COMPANIES, INC.3 Filed as: ERICA KIERNAN HAYS | 104 NYETIMBER PARKWAY MOON TOWNSHIP, PA 15108 | HIGHMARK, INC | $252 | — | $252 | 1.52% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | HIGHMARK, INC | $161 | — | $161 | 0.97% |
| THE BENECON GROUP3 Filed as: THE BENECON GROUP LLC | PO BOX 5406 LANCASTER, PA 17606 | HIGHMARK, INC | $82 | — | $82 | 0.49% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SVCS LLC | MID ATLANTIC PO BOX 61007 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $111 | $1K | $1K | 9.45% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 225 NE MIZNER BLVD STE 675 BOCA RATON, FL 33432 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 9.18% |
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 | 152 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 152 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UPMC HEALTH OPTIONS | 230 | $1.6M |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 228 | $63K |
| Vision | HIGHMARK, INC | 232 | $17K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 152 | $35K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 143 | $88K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 121 | $20K |
| Prescription drug | UPMC HEALTH OPTIONS | 230 | $1.6M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 152 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 232 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.