| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC. | 225 NORTH SHORE DR. STE 300 PITTSBURGH, PA 15212 | HIGHMARK INC. | $17K | — | $17K | 1.37% |
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC. | 225 NORTH SHORE DR. STE 300 PITTSBURGH, PA 15212 | HIGHMARK INC. | $4K | — | $4K | 1.37% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY LLC | PO BOX 900 CAMP HILL, PA 17001 | HARTFORD LIFE AND ACCIDENT | $6K | — | $6K | 5.91% |
| ROBERT CROOK3 | 1400 RIGGLES GAP ROAD ALTOONA, PA 16601 | HARTFORD LIFE AND ACCIDENT | $5K | — | $5K | 4.91% |
| NORTH AMERICAN BENEFITS COMPANY5 | 20 VALLEY STREAM PARKWAY STE 310 MALVERN, PA 19355 | MADISON NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 14.00% |
| ASSUREDPARTNERS3 Filed as: GUNN-MOWERY, LLC | PO BOX 900 CAMP HILL, PA 170010900 | MADISON NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| SEUBERT & ASSOCIATES, INC.3 | 225 NORTH SHORE DRIVE SUITE 300 PITTSBURGH, PA 15212 | CONTINENTAL AMERICAN INSURANCE COMPANY | $537 | — | $537 | 11.10% |
| SUSAN C ALLISON3 | 200 S LOGAN BLVD. ALTOONA, PA 16602 | CONTINENTAL AMERICAN INSURANCE COMPANY | $66 | — | $66 | 1.36% |
| JOHN E HRIVNAK3 | 3900 INDUSTRIAL PARK DRIVE ALTOONA, PA 16602 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.19% |
| JENNIFER ROBIN HRIVNAK3 Filed as: JENNIFER R. HRIVNAK | 5 LOG CABIN COURT ALTOONA, PA 16602 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.19% |
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 | 137 | 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) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK INC. | 211 | $1.2M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 258 | $53K |
| Vision | HIGHMARK INC. | 233 | $16K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 216 | $113K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 132 | $95K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 132 | $95K |
| Prescription drug | HIGHMARK INC. | 211 | $273K |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 216 | $117K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 258 | — |
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.