| 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 | HIGHMARK INC. | $47K | — | $47K | 2.48% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 | 902 SOUTH CENTER STREET, PO BOX 976 GROVE CITY, PA 16127 | UPMC HEALTH OPTIONS | $14K | — | $14K | 3.25% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 | 902 SOUTH CENTER STREET, PO BOX 976 GROVE CITY, PA 16127 | UPMC HEALTH OPTIONS | $8K | — | $8K | 2.36% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 | 902 SOUTH CENTER STREET, PO BOX 976 GROVE CITY, PA 16127 | UPMC HEALTH OPTIONS | $7K | — | $7K | 3.26% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 | 902 SOUTH CENTER STREET P.O. BOX 976 GROVE CITY, PA 16127 | GUARDIAN | $4K | $12K | $16K | 21.09% |
| SEUBERT & ASSOCIATES, INC.3 | 225 N SHORE DRIVE, STE 300 PITTSBURGH, PA 15212 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $7K | $7K | 17.12% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD FL 2 HAUPPAUGE, NY 11788 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| SEUBERT & ASSOCIATES, INC.3 | 225 N SHORE DRIVE, SUITE 300 PITTSBURGH, PA 15212 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $857 | $1K | $2K | 27.09% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS INC. | 225 WIRELESS BLVD FL 2 HAUPPAUGE, NY 11788 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $429 | $429 | 5.00% |
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 | 443 | 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) | 443 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | HIGHMARK INC. | 186 | $2.9M |
| Dental | GUARDIAN | 344 | $78K |
| Vision | GUARDIAN | 344 | $78K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 443 | $9K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 443 | $40K |
| Prescription drug(4 contracts, 2 carriers) | HIGHMARK INC. | 186 | $2.9M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 443 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 443 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.