| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VARIOUS - SEE ATTACHED3 Filed as: AFLAC AGENTS | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS | $1.2M | $31K | $1.2M | 15.14% |
| NATIONAL BENEFITS PARTNER LLC3 | 181 E 5600 SOUTH SUITE 240 SALT LAKE CITY, UT 84107 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $11K | $0 | $11K | 2.19% |
| NATIONAL BENEFITS PARTNER LLC3 Filed as: NATIONAL BENEFITS PARTNER INS | 181E 5600 SOUTH SUITE 240 SALT LAKE CITY, UT 84107 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $503 | $0 | $503 | 0.10% |
| THE FARMINGTON COMPANY3 | 30 WATERSLIDE DRIVE PO BOX 527 FARMINGTON, CT 06034 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $319 | $0 | $319 | 0.06% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 1501 REEDSDALE STREET SUITE 403 PITTSBURGH, PA 15233 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $125 | $0 | $125 | 0.02% |
| VARIOUS - SEE ATTACHED3 Filed as: AFLAC AGENTS | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS | $114K | $14K | $128K | 34.03% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | HYATT LEGAL PLANS | $21K | $0 | $21K | 10.62% |
| NEAL HURLEY3 | 76 CRESCENT DRIVE CLINTON, PA 15026 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 2.50% |
| CAROL HURLEY3 | 3508 FIFTH AVENUE SUITE 2 PITTSBURGH, PA 15213 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 2.50% |
| J12 CONCEPTS LLC3 | 2032 SWALLOW HILL #128 PITTSBURGH, PA 15220 | FEDERAL INSURANCE COMPANY | — | — | $0 | — |
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 | 65,589 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,704 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 69,293 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UPMC HEALTH PLAN | 52,092 | $36.4M |
| Dental | UPMC HEALTH PLAN | 52,092 | $36.4M |
| Vision | UPMC HEALTH PLAN | 52,092 | $36.4M |
| Life insurance | METROPOLITAN LIFE ISNRUANCE COMPANY | 120 | $720K |
| Short-term disability | UPMC WORKPARTNERS | 65,600 | $4.0M |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,724 | $108K |
| Prescription drug | UPMC HEALTH PLAN | 52,092 | $36.4M |
| Other(8 contracts, 7 carriers) | UPMC HEALTH PLAN | 65,600 | $47.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 65,600 | — |
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.