| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 210 INDUSTRIAL PARK RD, SUITE 130 JOHNSTOWN, PA 15904 | UPMC | — | — | $0 | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 210 INDUSTRIAL PARK RD, SUITE 130 JOHNSTOWN, PA 15904 | UPMC | $5K | — | $5K | — |
| KESSLAK FINANCIAL GROUP3 | 891 MENOHER BOULEVARD JOHNSTOWN, PA 15905 | SUN LIFE ASSURANCE COMPANY OF CANADA | $20K | — | $20K | — |
| KESSLAK FINANCIAL GROUP3 | 891 MENOHER BLVD JOHNSTOWN, PA 15905 | COLONIAL LIFE INSURANCE COMPANY | $422 | $0 | $422 | — |
| RICHARD D BRYER3 Filed as: RICHARD D. BREYER | 2135 RIDGE RD GREENSBURG, PA 15601 | COLONIAL LIFE INSURANCE COMPANY | $355 | $0 | $355 | — |
| TIMOTHY J SLATER3 | 821 WHITE OAK DR PITTSBURGH, PA 15228 | COLONIAL LIFE INSURANCE COMPANY | $33 | $0 | $33 | — |
| TAMMY A MORGART3 Filed as: TAMMY MORGART | 13347 DEAN DR NORTH HUNTINGDON, PA 15601 | COLONIAL LIFE INSURANCE COMPANY | $23 | $0 | $23 | — |
| KESSLAK FINANCIAL GROUP3 | 891 MENOHER BOULEVARD JOHNSTOWN, PA 15905 | SUN LIFE ASSURANCE COMPANY OF CANADA | $20K | — | $20K | — |
| KESSLAK FINANCIAL GROUP3 Filed as: KESSLAK FINANCIAL GROUP INC | 891 MENOHER BLVD JOHNSTOWN, PA 15905 | DELTA DENTAL OF PA | $391 | — | $391 | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 210 INDUSTRIAL PARK RD SUITE 130 JOHNSTOWN, PA 15904 | UPMC HEALTH OPTIONS | $23K | — | $23K | — |
| MARIA J BENNETTI3 | 2001 BELLMEADE DR ALTOONA, PA 16602 | AFLAC | $3K | — | $3K | — |
| MARCY L CLAPPER3 | 244 HERITAGE RD OSTERBURG, PA 16667 | AFLAC | $1K | — | $1K | — |
| JAMES G BRANDT3 | 47 MARVIN ST PORT MATILDA, PA 16870 | AFLAC | $903 | — | $903 | — |
| JOHN E HRIVNAK3 | 3900 INDUSTRIAL PARK DR SUITE 11 ALTOONA, PA 16602 | AFLAC | $898 | — | $898 | — |
| BRIAN STRENKO3 | 3271 WILLIAM PENN AVE JOHNSTOWN, PA 15909 | AFLAC | $638 | — | $638 | — |
| JENNIFER ROBIN HRIVNAK3 | 3900 INDUSTRIAL PARK SUITE 11 ALTOONA, PA 16602 | AFLAC | $485 | — | $485 | — |
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 | 404 | 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) | 404 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | COLONIAL LIFE INSURANCE COMPANY | 400 | $0 |
| Dental(2 contracts, 2 carriers) | UPMC | 225 | $0 |
| Vision | UPMC | 230 | $0 |
| Life insurance(2 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 404 | $0 |
| Short-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 404 | $0 |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 404 | $0 |
| Prescription drug | UPMC HEALTH OPTIONS | 400 | $0 |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 404 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 404 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.