| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRACEY & ASSOCIATES3 | 1190 BUCKNELL DRIVE MONROEVILLE, PA 15146 | UPMC HEALTH OPTIONS | $48K | — | $48K | 2.76% |
| TRACEY & ASSOCIATES3 | 1190 BUCKNELL DRIVE MONROEVILLE, PA 15146 | UPMC HEALTH BENEFITS | $15K | — | $15K | 8.71% |
| PAA SERVICES INC3 Filed as: PAA SERVICES, INC. | ATTN EILEEN MAYFIELD INS DIRECTOR HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $7K | $7K | 4.44% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE CO | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $4K | — | $4K | 2.26% |
| PENNSYLVANIA AUTO ASSOC INS AGY INC3 Filed as: PENNSYLVANIA AUTO ASSOC INS AGY | C/O EILEEN MAYFIELD INS DIRECTOR HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | $293 | — | $293 | 0.19% |
| CHARLES J GETTY3 Filed as: CHARLES GETTY | 3406 LYNNWOOD DRIVE WEST HOMESTEAD, PA 15120 | AMERICAN FIDELITY ASSURANCE COMPANY | $229 | — | $229 | 0.15% |
| COURY HEALTH SERVICES LLC3 Filed as: COURY HEALTH SERVICES, INC. | ONE OXFORD CENTRE 301 GRANT STREET, SUITE 300 PITTSBURGH, PA 15219 | AMERICAN UNITED LIFE INSURANCE COMPANY | $9K | — | $9K | 12.69% |
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 | 293 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 296 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UPMC HEALTH OPTIONS | 333 | $1.9M |
| Dental | UPMC HEALTH BENEFITS | 327 | $167K |
| Vision | UPMC HEALTH BENEFITS | 327 | $167K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 299 | $73K |
| Short-term disability(2 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 299 | $229K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 64 | $156K |
| Other(2 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 299 | $229K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 333 | — |
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.