| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | FOUR GATEWAY CENTER SUITE 750 PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $5K | — | $5K | 1.30% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $1K | — | $1K | 0.29% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | FOUR GATEWAY CENTER SUITE 750 PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $4K | — | $4K | 1.30% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $775 | — | $775 | 0.27% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | FOUR GATEWAY CENTER SUITE 750 PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $436 | — | $436 | 0.16% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $66 | — | $66 | 0.02% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | FOUR GATEWAY CENTER SUITE 750 PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $372 | — | $372 | 0.15% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $158 | — | $158 | 0.06% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | FOUR GATEWAY CENTER SUITE 750 PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $2K | — | $2K | 1.30% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $474 | — | $474 | 0.29% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | FOUR GATEWAY CENTER SUITE 750 PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $2K | — | $2K | 1.45% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $210 | — | $210 | 0.16% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | FOUR GATEWAY CENTER SUITE 750 PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $5K | — | $5K | 4.13% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $384 | — | $384 | 0.30% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 | FOUR GATEWAY CENTER, SUITE 750 444 LIBERTY AVENUE PITTSBURGH, PA 15222 | AETNA LIFE INSURANCE CO. | $2K | — | $2K | 2.31% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | AETNA LIFE INSURANCE CO. | $155 | — | $155 | 0.20% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | FOUR GATEWAY CENTER SUITE 750 PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $775 | — | $775 | 1.34% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $152 | — | $152 | 0.26% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | FOUR GATEWAY CENTER SUITE 750 PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $560 | — | $560 | 1.32% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | UPMC HEALTH OPTIONS | $119 | — | $119 | 0.28% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | FOUR GATEWAY CENTER SUITE 750 PITTSBURGH, PA 15222 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFITS SOLUTIONS, LLC | 4 GATEWAY CENTER, SUITE 750 PITTSBURGH, PA 15222 | LINCOLN NATIONAL LIFE INSURANCE CO. | $4K | — | $4K | 10.00% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFIT SOLUTIONS LLC | FOUR GATEWAY CENTER SUITE 750 PITTSBURGH, PA 15222 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
| TENTH DOT BENEFITS SOLUTIONS LLC3 Filed as: TENTH DOT BENEFITS SOLUTIONS, LLC | 4 GATEWAY CENTER, SUITE 750 444 LIBERTY AVE. PITTSBURGH, PA 15222 | UPMC HEALTH BENEFITS | $88 | — | $88 | 3.41% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | UPMC HEALTH BENEFITS | $15 | — | $15 | 0.58% |
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 | 366 | 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) | 366 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts) | UPMC HEALTH OPTIONS | 158 | $1.7M |
| Dental | AETNA LIFE INSURANCE CO. | 336 | $77K |
| Vision | UPMC HEALTH BENEFITS | 46 | $3K |
| Short-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 75 | $38K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE CO. | 73 | $37K |
| Prescription drug(9 contracts) | UPMC HEALTH OPTIONS | 158 | $1.7M |
| Other | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 67 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 336 | — |
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.