| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | HIGHMARK INC. | $92K | — | $92K | 3.32% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 Filed as: LOESEL-SCHAAF INSURANCE AGENCY INC. | 3537 WEST 12TH STREET ERIE, PA 16505 | DELTA DENTAL OF PENNSYLVANIA | $8K | — | $8K | 4.00% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 Filed as: LOESEL SCHAAF INSURANCE | 3537 W. 12TH STREET ERIE, PA 16505 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 8.34% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 Filed as: LOESEL SCHAAF INSURANCE AGENCY INC | 3537 WEST 12TH ST. ERIE, PA 16505 | FSL | $1K | — | $1K | 4.00% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 Filed as: LOESEL SCHAAF INSURANCE | 3537 W. 12TH STREET ERIE, PA 16505 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $972 | — | $972 | 13.68% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 Filed as: LOESEL SCHAAF INSURANCE AGENCY INC. | 3537 WEST 12TH ST. ERIE, PA 16505 | FSL | $5 | — | $5 | 4.00% |
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 | 522 | 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) | 522 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK INC. | 683 | $2.8M |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 912 | $209K |
| Vision(2 contracts) | FSL | 853 | $27K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 335 | $7K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 335 | $71K |
| Prescription drug | HIGHMARK INC. | 683 | $2.8M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 335 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 912 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.