| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FRISSORA & ASSOCIATES LLC3 | 103 BRADFORD ROAD SUITE 105 WEXFORD, PA 15090 | HM LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE & FINANCIAL S | P.O. BOX 29675 C/O PREMIUM TRUST DEPT 2027 PHOENIX, AZ 85038 | HM LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 Filed as: LOESEL-SCHAAF INSURANCE AGENCY INC. | 3537 W. 12TH STREET ERIE, PA 16505 | HM LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 Filed as: LOESEL-SCHAAF INSURANCE AGENCY INC. | 3537 W. 12TH STREET ERIE, PA 16505 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $0 | $3K | 4.26% |
| ARACHAS GROUP LLC3 | P.O. BOX 8152 852 W. BARTLETT ROAD BARTLETT, IL 60103 | BLUECROSS BLUESHIELD OF ILLINOIS | $1K | $0 | $1K | 1.77% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 Filed as: LOESEL-SCHAAF INSURANCE AGENCY INC. | 3537 W. 12TH STREET ERIE, PA 16505 | VISION BENEFITS OF AMERICA | $1K | $0 | $1K | 4.35% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 Filed as: LOESEL-SCHAAF INSURANCE AGENCY INC. | 3537 W. 12TH STREET ERIE, PA 16505 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 9.11% |
| ARACHAS GROUP LLC3 | P.O. BOX 8152 852 W. BARTLETT ROAD BARTLETT, IL 60103 | DELTA DENTAL OF ILLINOIS | $768 | $0 | $768 | 5.39% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 Filed as: LOESEL-SCHAAF INSURANCE AGENCY INC. | 3537 W. 12TH STREET ERIE, PA 16505 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.00% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 Filed as: LOESEL-SCHAAF INSURANCE AGENCY INC. | 3537 W. 12TH STREET ERIE, PA 16505 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $89 | $0 | $89 | 14.98% |
| LOESEL-SCHAAF INSURANCE AGENCY INC3 Filed as: LOESEL-SCHAAF INSURANCE AGENCY INC. | 3537 W. 12TH STREET ERIE, PA 16505 | MERITAIN HEALTH | $55K | $30K | $85K | — |
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 | 274 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 99 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 373 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF ILLINOIS | 199 | $68K |
| Dental | DELTA DENTAL OF ILLINOIS | 240 | $14K |
| Vision | VISION BENEFITS OF AMERICA | 243 | $25K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 355 | $95K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 5 | $14K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 199 | $292K |
| Other(3 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 355 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 355 | — |
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.