| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | HARTFORD LIFE AND ACCIDENT | $40K | $13K | $53K | 13.11% |
| LORI L ALMODOVAR3 Filed as: LORI L. ALMODOVAR | PO BOX 23 WELLSVILLE, PA 17365 | AFLAC | $3K | — | $3K | 4.77% |
| ANTONINA GREENPLATE3 | 833 HERITAGE HILLS DRIVE YORK, PA 17402 | AFLAC | $2K | $61 | $2K | 4.02% |
| DIANNE L MARTIN3 Filed as: DIANNE MARTIN | 125 MANOR STREET HARRISBURG, PA 17110 | AFLAC | $2K | $61 | $2K | 3.12% |
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | AFLAC | $1K | — | $1K | 2.04% |
| ANTHONY ALMODOVAR3 | 3605 VARTAN WAY, SUITE 304 HARRISBURG, PA 17110 | AFLAC | $1K | $61 | $1K | 2.03% |
| SUSAN R MCSHERRY3 Filed as: SUSAN MCSHERRY | 1330 BRIARGATE DRIVE YORK, PA 17404 | AFLAC | $697 | $245 | $942 | 1.73% |
| CHRISTOPHER A LUPP3 Filed as: CHRISTOPHER LUPP | 441 FRIENDSHIP RD, SUITE 102 HARRISBURG, PA 17111 | AFLAC | $367 | — | $367 | 0.67% |
| KRISTEN MURRAY3 | 3506 ASH ST. HARRISBURG, PA 17109 | AFLAC | $238 | — | $238 | 0.44% |
| GERALD L WALSH3 Filed as: GERALD WALSH | 39 POCAHONTAS LANE HALIFAX, PA 17032 | AFLAC | $170 | — | $170 | 0.31% |
| MATTHEW G BERGER3 Filed as: MATTHEW G. BERGER | 22 SUNNYRIDGE RD PHILADELPHIA, PA 19125 | AFLAC | $107 | $61 | $168 | 0.31% |
| LUCINDA SLAGEL3 | 300 HOLYOKE DRIVE YORK, PA 17402 | AFLAC | $86 | — | $86 | 0.16% |
| MARK D BARBIER3 Filed as: MARK BARBIER | 802 DEER TRAIL LN OAK BROOK, IL 60523 | AFLAC | $67 | — | $67 | 0.12% |
| ROBERT A ANDERSON3 Filed as: ROBERT ANDERSON | 13710 GENERAL GEARY CT. FREDERICKSBURG, VA 22407 | AFLAC | $47 | — | $47 | 0.09% |
| LISA PERRY3 | 1650 SAND LAKE RD, SUITE 201D ORLANDO, FL 32809 | AFLAC | $37 | — | $37 | 0.07% |
| CYNTHIA JAY3 | 3768 SOUTH EAST DOUBLETON DRIVE STUART, FL 34997 | AFLAC | $34 | — | $34 | 0.06% |
| DAVID W BRANDT3 Filed as: DAVID BRANDT | 46 WINDSOR WAY RED LION, PA 17356 | AFLAC | $20 | — | $20 | 0.04% |
| C LEONARD SKIPPER3 | PO BOX 11128 MONTGOMERY, AL 36111 | AFLAC | $20 | — | $20 | 0.04% |
| JOSEPH N SUCCOP III3 Filed as: JOSEPH SUCCOP III | PO BOX 103 FELTON, PA 17322 | AFLAC | $18 | — | $18 | 0.03% |
| ANDREW SIMMONS3 | 5421 VILLA TRCE HOOVER, AL 35244 | AFLAC | $16 | — | $16 | 0.03% |
| RANDALL SIMS3 | 138 DERR DRIVE COLLEGEVILLE, PA 19426 | AFLAC | $16 | — | $16 | 0.03% |
| DANIEL R JUDY3 Filed as: DANIEL JUDY | 231 WALTERS MILL RD SOMERSET, PA 15501 | AFLAC | $14 | — | $14 | 0.03% |
| BRANDT INC3 | 3111 EXPRESSO WAY YORK, PA 17406 | AFLAC | $11 | — | $11 | 0.02% |
| ELAINE S AIKEN3 Filed as: ELAINE AIKEN | 2202 FISHING CREEK RD WRIGHTSVILLE, PA 17368 | AFLAC | $9 | — | $9 | 0.02% |
| JOYCE MARIE3 | 11718 GARWOOD DR MAGNOLIA, TX 77354 | AFLAC | $9 | — | $9 | 0.02% |
| BONITA REID3 | 1515 HICKORY RUN COURT ELIZABETHTOWN, PA 17022 | AFLAC | $8 | — | $8 | 0.01% |
| J DAVID BUTLER3 | 601 CRESCENT BLVD, SUITE 102 RIDGELAND, MS 39157 | AFLAC | $7 | — | $7 | 0.01% |
| DAVID W RANCK3 Filed as: DAVID RANCK | PO BOX 277 EPHRATA, PA 17522 | AFLAC | $4 | — | $4 | 0.01% |
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 | 432 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 432 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | HIGHMARK | 649 | $39K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 432 | $402K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 432 | $402K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 432 | $402K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 432 | $457K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 649 | — |
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.