| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVENUE 30TH FLOOR PITTSBURGH, PA 15222 | GEISINGER QUALITY OPTIONS, INC. | $23K | — | $23K | 3.00% |
| WILLIAM P. SHILDT3 | SHILDT FINANCIAL SERVICES 210 W HAMILTON AVENUE #370 STATE COLLEGE, PA 16801 | DELTA DENTAL OF PENNSYLVANIA | $3K | — | $3K | 6.00% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 1007 MUMMA ROAD SUITE 200 WORMLEYSBURG, PA 17043 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 6.53% |
| ASSUREX3 Filed as: ASSUREX AGENCY INC. | 175 SOUTH THIRD STREET SUITE 800 COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $647 | $647 | 1.50% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC., | 1007 MUMMA ROAD SUITE 200 WORMLEYSBURG, PA 17043 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| ASSUREX3 Filed as: ASSUREX AGENCY INC. | 175 SOUTH THIRD STREET SUITE 800 COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $383 | $383 | 1.50% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 1007 MUMMA ROAD SUITE 200 WORLEYSBURG, PA 17043 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $741 | — | $741 | 12.95% |
| ASSUREX3 Filed as: ASSUREX AGENCY INC. | 175 SOUTH THIRD STREET SUITE 800 COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $86 | $86 | 1.50% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVENUE, 30TH FLOOR PITTSBURGH, PA 15222 | HIGHMARK | $113 | — | $113 | 2.99% |
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 | 216 | 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) | 216 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | GEISINGER QUALITY OPTIONS, INC. | 125 | $772K |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 176 | $55K |
| Vision | HIGHMARK | 180 | $4K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 216 | $6K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 216 | $43K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 74 | $26K |
| Prescription drug | GEISINGER QUALITY OPTIONS, INC. | 125 | $772K |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 216 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 216 | — |
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.