| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANDERSON BENEFIT SOLUTIONS3 Filed as: ANDERSON & KIME EMPLOYEE BENEFITS | 212 MAIN STREET RIDGWAY, PA 15853 | HIGHMARK | $25K | — | $25K | 3.47% |
| ANDERSON BENEFIT SOLUTIONS3 Filed as: ANDERSON & KIME EMPLOYEE BENEFITS | 212 MAIN STREET RIDGWAY, PA 15853 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 6.64% |
| JONATHAN D HUNT3 | 214 ASH STREET EDINBORO, PA 16412 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $112 | $3K | 12.77% |
| WILLIAM ELLIOTT COLE3 | 302 EAST 18TH STREET ERIE, PA 16503 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 9.17% |
| ANDREW BOYD3 | 902 NATURE RUN ROAD LIGONIER, PA 15658 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 7.83% |
| BARBARA K GROSS3 | 15 WEBER ROAD JEANNETTE, PA 15644 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $106 | $1K | 6.77% |
| MARK STANLEY3 | 193 SCHLAFER ROAD BAINBRIDGE, NY 13733 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $499 | $432 | $931 | 4.59% |
| DONNA TROXELL3 | 706 WESTWOOD DRIVE GIBSONIA, PA 15044 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $106 | $368 | $474 | 2.34% |
| ELITE ADMINISTRATION3 | 193 SCHLAFER ROAD BAINBRIDGE, NY 13733 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $256 | $80 | $336 | 1.66% |
| BRAD BIEL3 | 2 GOLD STREET NEW YORK, NY 10038 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $50 | $250 | $300 | 1.48% |
| EVALYN O DONNELL KIRK3 | PO BOX 1325 MONROEVILLE, PA 15146 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $66 | — | $66 | 0.33% |
| MARK WAYNE FORD3 | 1228 SOUTH 10TH STREET ALTOONA, PA 16602 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $66 | — | $66 | 0.33% |
| TIMOTHY J SLATER3 | 821 WHITE OAK CIRCLE PITTSBURGH, PA 15228 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.03% |
| JOHN A WENSLOW3 | 11400 CARTER ROAD ALBION, PA 16401 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.02% |
| DAVID E HAUCK3 | 2878 TREMONTE LANE ALLISON PARK, PA 15101 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| JAMES M ECK3 | 335 PENNSYLVANIA AVENUE KANE, PA 16735 | AFLAC | $415 | — | $415 | 5.33% |
| BILLY M CRAIN3 | 57 PICKERING STREET BROOKVILLE, PA 15825 | AFLAC | $89 | — | $89 | 1.14% |
| MICHELLE H KELLEY3 | 2411 WEST 26TH STREET ERIE, PA 16506 | AFLAC | $81 | — | $81 | 1.04% |
| NORTH EAST EMPIRE INC3 | 93 WOODSIDE ROAD DANVILLE, PA 17821 | AFLAC | $67 | — | $67 | 0.86% |
| MARIO HAIFA3 | 1195 WASHINGTON PIKE SUITE 300 BRIDGEVILLE, PA 15017 | AFLAC | $38 | — | $38 | 0.49% |
| DONNA M NELSON3 | 235 PARKVIEW ROAD SAINT MARYS, PA 15857 | AFLAC | $27 | — | $27 | 0.35% |
| LEON KOKAL3 | 10478 TOLLAND DRIVE AURORA, OH 44202 | AFLAC | $23 | — | $23 | 0.30% |
| DENNIS L HULSE3 | 240 PARALLEL STREET PLEASANTVILLE, PA 16341 | AFLAC | $20 | — | $20 | 0.26% |
| TIMOTHY R QUINLAN3 | 137 SEMICONON LANE RENFREW, PA 16053 | AFLAC | $17 | — | $17 | 0.22% |
| BRIAN W PATTEN3 | 120 MARGUERITE DRIVE SUITE 101 CRANBERRY TOWNSHIP, PA 16068 | AFLAC | $17 | — | $17 | 0.22% |
| DIANE M WORLEY3 | 20240 BOCKMAN HOLLOW ROAD SAEGERTOWN, PA 16433 | AFLAC | $8 | — | $8 | 0.10% |
| JOHN L PUTNAM3 | 648 GRIVING AVENUE OLEAN, NY 14760 | AFLAC | $7 | — | $7 | 0.09% |
| DAVID G WINANS3 | PO BOX 743 WARREN, PA 16365 | AFLAC | $6 | — | $6 | 0.08% |
| DANA L SPITTLER3 | PO BOX 91 EAST SMETHPORT, PA 16730 | AFLAC | $5 | — | $5 | 0.06% |
| BRIAN TODD KAUFFMAN3 | 315 GREENRIDGE ROAD SUITE H-1 NEW CASTLE, PA 16105 | AFLAC | $4 | — | $4 | 0.05% |
| QUINN, MEYER & ASSOCIATES3 Filed as: QUINN MEYER & ASSOCIATES | 10800 WINCHCOMBE DRIVE DUBLIN, OH 43016 | AFLAC | $1 | — | $1 | 0.01% |
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 | 100 | 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) | 100 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK | 94 | $726K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 104 | $65K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 104 | $65K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 38 | $28K |
| Short-term disability(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 38 | $28K |
| Prescription drug | HIGHMARK | 94 | $726K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 38 | $28K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 104 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.