| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOESEL-SCHAAF INSURANCE AGENCY INC3 | 3537 W 12TH STREET ERIE, PA 16505 | AMERICAN UNITED LIFE INSURANCE COMPANY | $3K | — | $3K | 4.96% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 | 3537 W 12TH STREET ERIE, PA 16505 | AMERICAN UNITED LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 | 3537 W 12TH STREET ERIE, PA 16505 | AMERICAN UNITED LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: LOESEL-SCHAAF INSRUANCE AGENCY | 3537 W 12TH STREET ERIE, PA 16505 | AMERICAN UNITED LIFE INSURANCE COMPANY | $1K | — | $1K | 14.99% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 Filed as: LOESEL SCHAAF INSURANCE AGENCY INC | 3537 W 12TH STREET ERIE, PA 16505 | AMERICAN UNITED LIFE INSURANCE COMPANY | $238 | — | $238 | 5.21% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HIGHMARK, INC. EIN 23-1294723 NONE | Contract Administrator Service code 13 | 120 FIFTH AVENUE PITTSBURGH, PA 15222 | $187K |
| UNITED CONCORDIA COMPANIES, INC EIN 25-1687586 NONE | Contract Administrator Service code 13 | 4401 DEER PATH ROAD HARRISBURG, PA 17110 | $22K |
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 | 428 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 434 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(3 contracts) | AMERICAN UNITED LIFE INSURANCE COMPANY | 451 | $90K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 78 | $13K |
| Stop-loss / reinsurancereinsurance | WESTPORT INSURANCE CORPORATION | 343 | $121K |
| Other | AMERICAN UNITED LIFE INSURANCE COMPANY | 451 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 451 | — |
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.