| 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 | $23K | — | $23K | 3.74% |
| ANDERSON BENEFIT SOLUTIONS3 Filed as: ANDERSON & KIME EMPLOYEE BENEFITS | 212 MAIN STREET RIDGWAY, PA 15853 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 6.61% |
| LIFETIME FINANCIAL GROWTH3 Filed as: LIFETIME FINANCIAL GROWTH, LLC | — | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $12 | — | $12 | 0.02% |
| ANDERSON BENEFIT SOLUTIONS3 Filed as: ANDERSON & KIME EMPLOYEE BENEFITS | 212 MAIN STREET RIDGWAY, PA 15845 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $6K | — | $6K | 12.60% |
| ELITE ADMINISTRATION & OTHER AGENTS3 Filed as: ELITE ADMINISTATION | 313 HARKINS BLUFF DRIVE GREER, SC 29651 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $137 | — | $137 | 0.83% |
| BARBARA K GROSS3 | 15 WEBER ROAD JEANNETTE, PA 15644 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $131 | — | $131 | 0.79% |
| TIMOTHY J SLATER3 | 821 WHITE OAK CIRCLE PITTSBURGH, PA 15228 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.03% |
| JOHN A WENSLOW3 | 11400 CARTER ROAD ALBION, PA 16401 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| DAVID E HAUCK3 | 2878 TREMONTE LANE ALLISON PARK, PA 15101 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| KELLY M FERUT3 Filed as: KELLY FERUT | 323 TREASURE LK DUBOIS, PA 15801 | AFLAC | $378 | — | $378 | 8.79% |
| NICOLE A BARR3 Filed as: NICOLE BARR | 975 TREASURE LK DUBOIS, PA 15801 | AFLAC | $350 | — | $350 | 8.14% |
| JAMES M ECK3 | 335 PENNSYLVANIA AVENUE KANE, PA 16735 | AFLAC | $147 | — | $147 | 3.42% |
| BILLY M CRAIN3 Filed as: BILLY CRAIN | 1026 RHODES LANE BROOKVILLE, PA 15825 | AFLAC | $111 | — | $111 | 2.58% |
| JACQUELINE G KINDERMAN3 Filed as: JACQUELINE KINDERMAN | 1260 TREASURE LK DUBOIS, PA 15801 | AFLAC | $85 | — | $85 | 1.98% |
| NORTH EAST EMPIRE INC3 | 52 NORTH CHESTNUT DRIVE DRUMS, PA 18222 | AFLAC | $28 | — | $28 | 0.65% |
| MICHELLE H KELLEY3 Filed as: MICHELLE KELLEY | 2411 WEST 26TH STREET ERIE, PA 16506 | AFLAC | $20 | — | $20 | 0.47% |
| TIMOTHY R QUINLAN3 Filed as: TIMOTHY QUINLAN | 137 SEMICONON LANE RENFREW, PA 16053 | AFLAC | $13 | — | $13 | 0.30% |
| MARIO HAIFA3 | 1195 WASHINGTON PIKE SUITE 300 BRIDGEVILLE, PA 15017 | AFLAC | $10 | — | $10 | 0.23% |
| JOHN L PUTNAM3 Filed as: JOHN PUTNAM | 648 GARDEN AVENUE OLEAN, NY 14760 | AFLAC | $7 | — | $7 | 0.16% |
| DANA L SPITTLER3 Filed as: DANA SPITTLER | PO BOX 91 EAST SMETHPORT, PA 16730 | AFLAC | $5 | — | $5 | 0.12% |
| LEON KOKAL3 | 10478 TOLLAND DRIVE AURORA, OH 44202 | AFLAC | $4 | — | $4 | 0.09% |
| BRIAN W PATTEN3 | 120 MARGUERITE DRIVE SUITE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $4 | — | $4 | 0.09% |
| JOY GRUBE PADGELEK3 Filed as: JOY PADGELEK | 1195 WASHINGTON PIKE SUITE 300 BRIDGEVILLE, PA 15017 | AFLAC | $1 | — | $1 | 0.02% |
| THE TORRES GROUP LLC3 | 1750 FARMINTON CIRCLE WELLINTON, TN 37919 | AFLAC | $1 | — | $1 | 0.02% |
| BRIAN TODD KAUFFMAN3 Filed as: BRIAN KAUFFMAN | 315 GREEN RIDGE ROAD SUITE H1 NEW CASTLE, PA 16105 | AFLAC | $1 | — | $1 | 0.02% |
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 | 88 | $606K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 100 | $58K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 100 | $58K |
| Life insurance(3 contracts, 3 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 107 | $67K |
| Short-term disability(3 contracts, 3 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 107 | $67K |
| Prescription drug | HIGHMARK | 88 | $606K |
| Other(3 contracts, 3 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 107 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 107 | — |
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."
No prospect flags tripped on this filing.