| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FIRST NATIONAL INSURANCE AGENCY3 Filed as: FIRST NATIONAL INSURANCE AGENCY LLC | 12 FEDERAL ST #405 PITTSBURGH, PA 15212 | UNITEDHEALTHCARE INSURANCE COMPANY | $906 | $0 | $906 | 4.74% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK INC | 115 VIP DR STE 300 WEXFORD, PA 15090 | UNITEDHEALTHCARE INSURANCE COMPANY | $880 | $0 | $880 | 4.61% |
| FIRST NATIONAL INS AGENCY3 Filed as: FIRST NATIONAL INS AGENCY LLC | 1 NORTH SHORE CENTER 12 FEDERAL ST STE 405 PITTSBURGH, PA 15212 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 7.19% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK INC | 115 VIP DR STE 300 WEXFORD, PA 15090 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $743 | $0 | $743 | 4.81% |
| DMC BENEFITS INC3 | 1485 PRINCE CHARLES AVE WESTLAKE, OH 44145 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $141 | $141 | 0.91% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK INC | 115 VIP DR STE 300 WEXFORD, PA 15090 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 8.72% |
| FIRST NATIONAL INS AGENCY3 Filed as: FIRST NATIONAL INS AGENCY LLC | 1 NORTH SHORE CENTER 12 FEDERAL ST STE 405 PITTSBURGH, PA 15212 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $760 | $0 | $760 | 6.28% |
| DMC BENEFITS INC3 | 1485 PRINCE CHARLES AVE WESTLAKE, OH 44145 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $152 | $152 | 1.26% |
| DMC BENEFITS INC3 | 1485 PRINCE CHARLES AVE WESTLAKE, OH 44145 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $498 | $498 | 5.09% |
| FIRST NATIONAL INS AGENCY3 Filed as: FIRST NATIONAL INS AGENCY LLC | 1 NORTH SHORE CENTER 12 FEDERAL ST STE 405 PITTSBURGH, PA 15212 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $320 | $0 | $320 | 3.27% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK INC | 115 VIP DR STE 300 WEXFORD, PA 15090 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $450 | $0 | $450 | 7.28% |
| FIRST NATIONAL INS AGENCY3 Filed as: FIRST NATIONAL INS AGENCY LLC | 1 NORTH SHORE CENTER 12 FEDERAL ST STE 405 PITTSBURGH, PA 15212 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $291 | $0 | $291 | 4.71% |
| DMC BENEFITS INC3 | 1485 PRINCE CHARLES AVE WESTLAKE, OH 44145 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $73 | $73 | 1.18% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK INC | 115 VIP DR STE 300 WEXFORD, PA 15090 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $466 | $0 | $466 | 11.13% |
| FIRST NATIONAL INS AGENCY3 Filed as: FIRST NATIONAL INS AGENCY LLC | 1 NORTH SHORE CENTER 12 FEDERAL ST STE 405 PITTSBURGH, PA 15212 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $371 | $0 | $371 | 8.86% |
| DMC BENEFITS INC3 | 1485 PRINCE CHARLES AVE WESTLAKE, OH 44145 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $56 | $56 | 1.34% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK INC | 115 VIP DR STE 300 WEXFORD, PA 15090 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $349 | $0 | $349 | 8.62% |
| FIRST NATIONAL INS AGENCY3 Filed as: FIRST NATIONAL INS AGENCY LLC | 1 NORTH SHORE CENTER 12 FEDERAL ST STE 405 PITTSBURGH, PA 15212 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $258 | $0 | $258 | 6.38% |
| DMC BENEFITS INC3 | 1485 PRINCE CHARLES AVE WESTLAKE, OH 44145 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $52 | $52 | 1.28% |
| FIRST NATIONAL INS AGENCY3 Filed as: FIRST NATIONAL INS AGENCY LLC | 1 NORTH SHORE CENTER 12 FEDERAL ST STE 405 PITTSBURGH, PA 15212 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $110 | $0 | $110 | 2.83% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK INC | 115 VIP DR STE 300 WEXFORD, PA 15090 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $84 | $0 | $84 | 2.16% |
| DMC BENEFITS INC3 | 1485 PRINCE CHARLES AVE WESTLAKE, OH 44145 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $66 | $66 | 1.70% |
| BENEFITS NETWORK INC. (WEXFORD,PA)3 Filed as: BENEFITS NETWORK INC | 115 VIP DR STE 300 WEXFORD, PA 15090 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $312 | $0 | $312 | 8.67% |
| FIRST NATIONAL INS AGENCY3 Filed as: FIRST NATIONAL INS AGENCY LLC | 1 NORTH SHORE CENTER 12 FEDERAL ST STE 405 PITTSBURGH, PA 15212 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $228 | $0 | $228 | 6.33% |
| DMC BENEFITS INC3 | 1485 PRINCE CHARLES AVE WESTLAKE, OH 44145 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $46 | $46 | 1.28% |
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 | 110 | 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) | 110 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 79 | $19K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 67 | $4K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 49 | $12K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 110 | $16K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 110 | $15K |
| Other(6 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 67 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 110 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.