| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAVEVIC BENEFIT CONSULTANTS, INC.3 | 902 SOUTH CENTER STREET, PO BOX 976 GROVE CITY, PA 16127 | UPMC HEALTH OPTIONS | $48K | — | $48K | 3.67% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 | 902 SOUTH CENTER STREET, PO BOX 976 GROVE CITY, PA 16127 | HEALTHAMERICA OF PENNSYLVANIA, INC. | $10K | — | $10K | 3.01% |
| TUCKER JOHNSTON & SMELZER INC3 Filed as: TUCKER, JOHNSTON & SMELZER | 1301 GRANDVIEW AVE., TRIMONT PLAZA PITTSBURGH, PA 152111205 | HEALTHAMERICA OF PENNSYLVANIA, INC. | — | $2K | $2K | 0.77% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 | 902 SOUTH CENTER STREET, PO BOX 976 GROVE CITY, PA 16127 | UPMC HEALTH OPTIONS | $9K | — | $9K | 3.70% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 | 902 SOUTH CENTER STREET, PO BOX 976 GROVE CITY, PA 16127 | GUARDIAN | $3K | $5K | $8K | 5.52% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 | 902 SOUTH CENTER STREET, PO BOX 976 GROVE CITY, PA 16127 | UPMC HEALTH OPTIONS | $9K | — | $9K | 6.96% |
| COURY HEALTH SERVICES LLC3 Filed as: COURY HEALTH SERVICES INC | 301 GRANT ST, STE 300 300 ONE OXFORD CENTER, STE 300 PITTSBURGH, PA 152196401 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | — | $9K | 8.30% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 | 902 SOUTH CENTER STREET, PO BOX 976 GROVE CITY, PA 16127 | UPMC HEALTH OPTIONS | $1K | — | $1K | 2.43% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 | 902 SOUTH CENTER STREET, PO BOX 976 GROVE CITY, PA 16127 | GUARDIAN | $4K | $1K | $5K | 17.96% |
| LIFETIME FINANCIAL GROWTH3 Filed as: LIFETIME FINANCIAL GROWTH, LLC | 244 BLVD OF THE ALLIES 6TH FLOOR PITTSBURGH, PA 15222 | GUARDIAN | $72 | — | $72 | 0.26% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 | 902 SOUTH CENTER STREET, PO BOX 976 GROVE CITY, PA 16127 | VISION BENEFITS OF AMERICA | $1K | — | $1K | 4.69% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 | 902 SOUTH CENTER STREET, PO BOX 976 GROVE CITY, PA 16127 | GUARDIAN | $2K | $807 | $2K | 13.21% |
| LIFETIME FINANCIAL GROWTH3 Filed as: LIFETIME FINANCIAL GROWTH, LLC | 244 BLVD OF THE ALLIES 6TH FLOOR PITTSBURGH, PA 15222 | GUARDIAN | $33 | — | $33 | 0.18% |
| COURY HEALTH SERVICES LLC3 Filed as: COURY HEALTH SERVICES, INC. | 301 GRANT STREET PITTSBURGH, PA 15219 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | — | $0 | 0.00% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 | 902 SOUTH CENTER STREET, PO BOX 976 GROVE CITY, PA 16127 | HIGHMARK | $115 | — | $115 | 3.98% |
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 | 509 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 509 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 2 carriers) | UPMC HEALTH OPTIONS | 431 | $2.1M |
| Dental(2 contracts) | GUARDIAN | 242 | $163K |
| Vision(2 contracts, 2 carriers) | VISION BENEFITS OF AMERICA | 232 | $29K |
| Life insurance(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 509 | $139K |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 509 | $111K |
| Prescription drug | UPMC HEALTH OPTIONS | 431 | $1.3M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 505 | $108K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 509 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.