| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRACEY & ASSOCIATES3 Filed as: TRACEY & ASSOCIATES, LLC | 201 CORBET STREET STE 3 TARENTUM, PA 15084 | UPMC HEALTH OPTIONS | $43K | — | $43K | 2.25% |
| TRACEY & ASSOCIATES3 Filed as: TRACEY AND ASSOCIATES, LLC | 1190 BUCKNELL DRIVE MONROEVILLE, PA 15146 | UPMC HEALTH OPTIONS | $10K | — | $10K | 0.50% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE CO. | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $12K | — | $12K | 4.42% |
| PAA SERVICES INC3 Filed as: PAA SERVICES, INC. | 1919 NORTH FRONT STREET HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $10K | $10K | 3.64% |
| PENNSYLVANIA AUTO ASSOC INS AGY INC3 | PO BOX 2955 HARRISBURG, PA 17105 | AMERICAN FIDELITY ASSURANCE COMPANY | $643 | — | $643 | 0.24% |
| TRACEY & ASSOCIATES3 Filed as: TRACEY & ASSOCIATES, LLC | 201 CORBET STREET STE 3 TARENTUM, PA 15084 | UPMC HEALTH BENEFITS | $13K | — | $13K | 7.78% |
| TRACEY & ASSOCIATES3 Filed as: TRACEY AND ASSOCIATES, LLC | 1190 BUCKNELL DRIVE MONROEVILLE, PA 15146 | UPMC HEALTH BENEFITS | $3K | — | $3K | 1.63% |
| COURY HEALTH SERVICES LLC3 Filed as: COURY HEALTH SERVICES, LLC | 965 GREENTREE ROAD STE 310 PITTSBURGH, PA 15220 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | — | $6K | 15.00% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $753 | $753 | 2.02% |
| COURY HEALTH SERVICES LLC3 Filed as: COURY HEALTH SERVICES, LLC | 965 GREENTREE ROAD STE 310 PITTSBURGH, PA 15220 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $983 | — | $983 | 6.78% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $204 | $204 | 1.41% |
| COURY HEALTH SERVICES LLC3 Filed as: COURY HEALTH SERVICES, LLC | 965 GREENTREE ROAD STE 310 PITTSBURGH, PA 15220 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $814 | — | $814 | 7.33% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $169 | $169 | 1.52% |
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 | 350 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 352 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UPMC HEALTH OPTIONS | 324 | $2.2M |
| Dental | UPMC HEALTH BENEFITS | 320 | $163K |
| Vision | UPMC HEALTH BENEFITS | 320 | $163K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 345 | $52K |
| Short-term disability(2 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 345 | $281K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 156 | $270K |
| Other | AMERICAN FIDELITY ASSURANCE COMPANY | 156 | $270K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 345 | — |
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.