| 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 | $1.7M | $83K | $1.8M | 18.50% |
| NATIONAL BENEFITS PARTNER LLC3 | 181 E 5600 SOUTH SUITE 240 SALT LAKE CITY, UT 84107 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $10K | $0 | $10K | 2.36% |
| NATIONAL BENEFITS PARTNER LLC3 Filed as: NATIONAL BENEFITS PARTNER INS | SUITE 200 1389 CENTER DRIVE PARK CITY, UT 84098 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $460 | $0 | $460 | 0.10% |
| THE FARMINGTON COMPANY3 | 30 WATERSLIDE DRIVE PO BOX 527 FARMINGTON, CT 06034 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $170 | $0 | $170 | 0.04% |
| 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 | $113 | $0 | $113 | 0.03% |
| VARIOUS - SEE ATTACHED3 Filed as: AFLAC AGENTS | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS | $45K | $2K | $47K | 13.67% |
| BRIAN W PATTEN3 Filed as: BRIAN PATTEN AND ASSOCIATES LLC | 120 MARGUERITE DR SUITE 100 CRANBERRY, PA 16066 | CIGNA GROUP INSURANCE | $32K | — | $32K | 11.19% |
| SUPPLEMENTAL BENEFITS SERVICES INC3 Filed as: SUPPLEMENTAL BENEFITS SERVICES, INC | PO BOX 927 MECHANICSBURG, PA 17055 | CIGNA GROUP INSURANCE | $20K | — | $20K | 7.09% |
| LISA A MILLER STELLO3 | 2753 TARBERT ST HENDERSON, NV 89044 | CIGNA GROUP INSURANCE | $10K | — | $10K | 3.55% |
| JOHN ANTHONY WENTZ3 Filed as: JOHN A WENTZ | 102 JOHN STREET PITTSBURGH, PA 15237 | CIGNA GROUP INSURANCE | $6K | — | $6K | 2.13% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | METLIFE LEGAL PLANS | $23K | $2K | $25K | 11.84% |
| SAGEWELL PARTNERS INC3 Filed as: SAGEWELL PARTNERS | 1501 REEDSDALE STREET SUITE 304 PITTSBURGH, PA 15233 | METLIFE LEGAL PLANS | — | $9 | $9 | 0.00% |
| CAROL HURLEY3 | 3508 FIFTH AVENUE SUITE 2 PITTSBURGH, PA 15213 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 2.50% |
| NEAL HURLEY3 | 76 CRESCENT DRIVE CLINTON, PA 15026 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 2.50% |
| J12 CONCEPTS LLC3 | 2034 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 | 67,209 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,045 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 71,254 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UPMC HEALTH PLAN | 53,583 | $37.7M |
| Dental | UPMC HEALTH PLAN | 53,583 | $37.3M |
| Vision | UPMC HEALTH PLAN | 53,583 | $37.3M |
| Life insurance | METROPOLITAN LIFE ISNRUANCE COMPANY | 128 | $790K |
| Short-term disability | UPMC WORKPARTNERS | 67,300 | $4.5M |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,725 | $129K |
| Prescription drug(2 contracts, 2 carriers) | UPMC HEALTH PLAN | 53,583 | $37.7M |
| Other(9 contracts, 8 carriers) | UPMC HEALTH PLAN | 67,300 | $50.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 67,300 | — |
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.