| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LILLIS MCKIBBEN BONGIOVANNI & CO3 Filed as: LILLIS MCKIBBEN & CO | 305 WEST 6TH STREET ERIE, PA 16507 | AETNA LIFE INSURANCE CO. | $3K | — | $3K | 0.12% |
| LILLIS MCKIBBEN BONGIOVANNI & CO3 Filed as: LILLIS MCKIBBEN & CO | 100 STATE ST ERIE, PA 16507 | AETNA LIFE INSURANCE CO. | $925 | — | $925 | 0.04% |
| LILLIS MCKIBBEN BONGIOVANNI & CO3 | 100 STATE ST ERIE, PA 16507 | CONTINENTAL AMERICAN INSURANCE COMPANY | $20K | — | $20K | 29.74% |
| MARILYN WYMAN3 Filed as: MARILYN L WYMAN | 4276 STONE CREEK DR ERIE, PA 16506 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | — | $7K | 10.67% |
| LISA M BECK3 | 10717 WESTVIEW AVE MEADVILLE, PA 16335 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 3.01% |
| SMITH BENEFITS CONSULTING GROUP3 Filed as: SMITH BENEFITS CONSULTING GROUP LLC | 810 RIVER AVE PITTSBURGH, PA 15212 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 2.41% |
| RAINA TOKAR3 | 153 PERRY HIGHWAY PITTSBURGH, PA 15229 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 2.34% |
| STEPHANIE V BOOMGAARDEN3 | 207 LAKELAND DR EDINBORO, PA 16412 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.11% |
| DRAYKE KARGES3 | 7750 BLAZY RD EDINBORO, PA 16412 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.08% |
| MYKA LEANNA DAVIS3 Filed as: MYKA L DAVIS | 3865 MOREFIELD ROAD HERMITAGE, PA 16148 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.64% |
| KARGES BENEFITS CONSULT GROUP LLC3 | 2427 BUFALLO RD ERIE, PA 16510 | CONTINENTAL AMERICAN INSURANCE COMPANY | $910 | — | $910 | 1.35% |
| PATRICK PREISEL3 Filed as: PATRICK J PREISEL | 806 YOUNG ST NEW CASTLE, PA 16101 | CONTINENTAL AMERICAN INSURANCE COMPANY | $752 | — | $752 | 1.12% |
| LORI L CLARK3 | 11581 COTTON RD MEADVILLE, PA 16335 | CONTINENTAL AMERICAN INSURANCE COMPANY | $666 | — | $666 | 0.99% |
| TRAVIS ALBERT LING3 | 243 TAMARACK DRIVE MARS, PA 16046 | CONTINENTAL AMERICAN INSURANCE COMPANY | $509 | — | $509 | 0.75% |
| AMANDA STEIN3 | 57 PICKERING ST BROOKVILLE, PA 15825 | CONTINENTAL AMERICAN INSURANCE COMPANY | $493 | — | $493 | 0.73% |
| DOUGLAS KAMPER3 | 624 SUISMON STREET PITTSBURGH, PA 15212 | CONTINENTAL AMERICAN INSURANCE COMPANY | $134 | — | $134 | 0.20% |
| PEGGY LYNN STORMER3 Filed as: PEGGY L STORMER | 244 MCANNICH ROAD BROOKVILLE, PA 15825 | CONTINENTAL AMERICAN INSURANCE COMPANY | $56 | — | $56 | 0.08% |
| LILLIS MCKIBBEN BONGIOVANNI & CO3 | 305 WEST 6TH STREET ERIE, PA 16507 | HARTFORD LIFE AND ACCIDENT | $5K | — | $5K | 7.85% |
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 | 163 | 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) | 163 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 163 | $2.1M |
| Dental | AETNA LIFE INSURANCE CO. | 163 | $2.1M |
| Vision | CONTINENTAL AMERICAN INSURANCE COMPANY | 140 | $67K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 159 | $58K |
| Short-term disability(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 159 | $126K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 159 | $58K |
| Prescription drug | AETNA LIFE INSURANCE CO. | 163 | $2.1M |
| Other | HARTFORD LIFE AND ACCIDENT | 159 | $58K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 163 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.