| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M. SUZANNE TRACEY & ASSOCIATES3 | 1190 BUCKNELL DR MONROEVILLE, PA 15146 | HIGHMARK INC. | $58K | — | $58K | 1.46% |
| M. SUZANNE TRACEY & ASSOCIATES3 | 1190 BUCKNELL DRIVE MONROEVILLE, PA 15146 | HIGHMARK INC. | $13K | — | $13K | 1.51% |
| PATRICIA M CUMMINGS3 | 1190 BUCKNELL DR MONROEVILLE, PA 15146 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $12K | — | $12K | 3.38% |
| M. SUZANNE TRACEY & ASSOCIATES3 Filed as: M SUZANNE TRACEY AND ASSOCIATES | 1190 BUCKNELL DR MONROEVILLE, PA 15146 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 2.51% |
| TAMMY A MORGART3 Filed as: TAMMY A. MORGART | 13347 DEAN DRIVE NORTH HUNTINGDON, PA 15642 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10K | $225 | $10K | 5.90% |
| M. SUZANNE TRACEY & ASSOCIATES3 | 1190 BUCKNELL DRIVE MONROEVILLE, PA 15146 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9K | — | $9K | 4.95% |
| TIMOTHY J SLATER3 | 466 CARNEGIE DRIVE PITTSBURGH, PA 15243 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $79 | $1K | 0.75% |
| SARA MARIE BRYER3 | 1201 CLARIDGE ELLIOT ROAD JEANNETTE, PA 15644 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $427 | $30 | $457 | 0.26% |
| LISA M BRYER3 | 2135 RIDGE ROAD GREENSBURG, PA 15601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $421 | — | $421 | 0.24% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| STEPHEN J. O'BRIEN & ASSOCIATES,LLC EIN 81-5178933 NONE | Legal Service code 29 | — | $34K |
| DICLAUDIO & KRAMER, LLC EIN 27-0889793 NONE | Accounting (including auditing) Service code 10 | — | $24K |
| OPCMIA COMBINED FUNDS OF WESTERN PA EIN 86-1175988 COMMON OFFICERS | Contract Administrator Service code 13 | — | $12K |
| J.A. TAMSULA, INC. EIN 01-0734478 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $7K |
| HUMAN RESOURCES AMERICA, INC NONE | Consulting (general) Service code 16 | P.O. BOX 8 HOUSTON, PA 15342 | $6K |
| PNC BANK EIN 25-1197336 NONE | Custodial (securities); Float revenue Service code 19 | — | $6K |
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 | 508 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 95 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 24 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 627 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HIGHMARK INC. | 681 | $3.9M |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 425 | $347K |
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 425 | $347K |
| Life insurance(2 contracts, 2 carriers) | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 425 | $521K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 83 | $174K |
| Long-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 83 | $174K |
| Prescription drug | HIGHMARK INC. | 707 | $830K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 707 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.