| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC. | 225 N SHORE DRIVE STE 300 PITTSBURGH, PA 15212 | HIGHMARK, INC. | $26K | — | $26K | 2.23% |
| MICHAEL PAUL LOGUT3 | 124 SHIPPEN DRIVE CORAOPOLIS, PA 15108 | HIGHMARK, INC. | $8K | — | $8K | 0.73% |
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC. | 225 NORTH SHORE DRIVE STE 300 PITTSBURGH, PA 15212 | HARTFORD LIFE AND ACCIDENT | $16K | — | $16K | 15.00% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BLVD. 2ND FLOOR HAUPPAUGE, NY 11788 | HARTFORD LIFE AND ACCIDENT | — | $5K | $5K | 5.00% |
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC. | 225 NORTH SHORE DRIVE STE 300 PITTSBURGH, PA 15212 | HIGHMARK, INC. | $8K | — | $8K | 6.94% |
| MICHAEL PAUL LOGUT3 | 124 SHIPPEN DRIVE CORAOPOLIS, PA 15108 | HIGHMARK, INC. | $2K | — | $2K | 2.30% |
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC. | 225 NORTH SHORE DRIVE STE 300 PITTSBURGH, PA 15212 | HIGHMARK, INC. | $2K | — | $2K | 6.90% |
| MICHAEL PAUL LOGUT3 | 124 SHIPPEN DRIVE CORAOPOLIS, PA 15108 | HIGHMARK, INC. | $584 | — | $584 | 2.32% |
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 | 125 | 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) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK, INC. | 342 | $1.2M |
| Dental | HIGHMARK, INC. | 344 | $108K |
| Vision | HIGHMARK, INC. | 342 | $25K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 125 | $109K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 125 | $109K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 125 | $109K |
| Prescription drug | HIGHMARK, INC. | 199 | $154K |
| Other | HARTFORD LIFE AND ACCIDENT | 125 | $109K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 344 | — |
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.