| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK ILGENFRITZ3 | 2110 POWERS FERRY RD., STE 440 ATLANTA, GA 30339 | PRIORITY HEALTH | $608K | $0 | $608K | 5.48% |
| MARK ILGENFRITZ3 | 2110 POWERS FERRY RD., STE 440 ATLANTA, GA 30339 | PRIORITY HEALTH INSURANCE COMPANY | $21K | $0 | $21K | 1.50% |
| MARK ILGENFRITZ3 | 1050 CROWN POINTE PKWY, STE 600 ATLANTA, GA 30338 | PHYSICIANS HEALTH PLAN | $26K | $0 | $26K | 1.91% |
| KEVIN SCOTT3 | 1050 CROWN POINTE PKWY, STE 600 ATLANTA, GA 30338 | PHYSICIANS HEALTH PLAN | $26K | $0 | $26K | 1.84% |
| HEALTH COST SOLUTIONS, INC.3 Filed as: HEALTH COST SOLUTIONS, LLC | PO BOX 1439 HENDERSONVILLE, TN 37077 | PHOENIX EXCESS RISK UNDERWRITERS | $20K | $0 | $20K | 1.75% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE, INC. | 2850 GOLF RD STE 1000 ROLLING MEADOWS, IL 60008 | TOTAL HEALTH CARE USA, INC. | $10K | $0 | $10K | 3.38% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE, INC. | 2850 GOLF RD STE 1000 ROLLING MEADOWS, IL 60008 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $13K | $2K | $15K | 10.10% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE, INC. | 4000 MIDATLANTIC AVE. MT. LAUREL, NJ 08054 | AETNA | $6K | $0 | $6K | 6.19% |
| BRIAN W PATTEN3 Filed as: BRIAN PATTEN AGENCY, LLC | 120 MARGUERITE DR. CRANBERRY, PA 16066 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $0 | $7K | 15.04% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE, INC. | 1050 CROWN POINTE PKWY, STE 600 ATLANTA, GA 30338 | METROPOLITAN LIFE INSURANCE COMPANY | $626 | $0 | $626 | 1.27% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE, INC. | PO BOX 3009 ARLINGTON HEIGHTS, IL 60008 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $52 | $52 | 0.11% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE, INC. | 545 METRO PLACE SOUTH, STE 150 DUBLIN, OH 43017 | DENCAP DENTAL PLANS, INC. | $2K | $0 | $2K | 10.00% |
| BRIAN W PATTEN3 Filed as: BRIAN PATTEN AGENCY, LLC | 120 MARGUERITE DR. CRANBERRY, PA 16066 | AFLAC | $2K | $0 | $2K | 12.51% |
| ALTER FREILICH3 Filed as: ALTER FRELICH | 2603 AVENUE J BROOKLYN, NY 11210 | AFLAC | $433 | $0 | $433 | 2.31% |
| ANDREW MICHAEL JONES3 | 3220 BIRCHPARK DR. NEW HAVEN, IN 46774 | AFLAC | $396 | $0 | $396 | 2.11% |
| ROBERT J LAWRENCE3 Filed as: ROBERT J. LAWRENCE | 15409 SPENCERVILLE RD. GRABILL, IN 46741 | AFLAC | $302 | $0 | $302 | 1.61% |
| BYRON ALLEN BRAY3 | 3214 18TH AVE. BEAVER FALLS, PA 15010 | AFLAC | $260 | $0 | $260 | 1.38% |
| JOSHUA GINEPRO3 | 139 W. LAKE LANSING RD. STE 200 EAST LANSING, MI 48823 | AFLAC | $173 | $0 | $173 | 0.92% |
| JONATHAN DAVID BESWARICK3 Filed as: JONATHAN DAVID BERWARICK | 220 INSURANCE DR. FORT WAYNE, IN 46825 | AFLAC | $169 | $0 | $169 | 0.90% |
| MORGAN E PETTIT3 Filed as: MORGAN E. PETTIT | 115 SEWICKLEY FARM CIR. MARS, PA 16046 | AFLAC | $167 | $0 | $167 | 0.89% |
| CORIE MCKINNEY3 | 6121 HERON BLVD. WARSAW, IN 46582 | AFLAC | $146 | $0 | $146 | 0.78% |
| CYNTHIA KAY PATTEN3 | 102 PEPPERGRASS RD. BADEN, PA 15005 | AFLAC | $132 | $0 | $132 | 0.70% |
| MICHELLE L SEXTON3 Filed as: MICHELLE L. SEXTON | 220 INSURANCE DR. FORT WAYNE, IN 46825 | AFLAC | $130 | $0 | $130 | 0.69% |
| HEATHER BARTLEY3 | 120 MARGUERITE DR. CRANBERRY, PA 16066 | AFLAC | $126 | $0 | $126 | 0.67% |
| DRUE RODEGHIER3 | 2011 CALIFORNIA AVE. FORT WAYNE, IN 46805 | AFLAC | $106 | $0 | $106 | 0.56% |
| ARCEL MAY ROXAS3 | 2311 E. JOLLY RD., APT. 10 LANSING, MI 48910 | AFLAC | $57 | $0 | $57 | 0.30% |
| JOSEPH DIFUCCIA3 | 2323 W. 38TH ST. ERIE, PA 16506 | AFLAC | $46 | $0 | $46 | 0.24% |
| RONALD A DASHKOVITZ3 Filed as: RONALD ALLEN DASHKOVITZ | 139 W. LAKE LANSING RD. STE 200 EAST LANSING, MI 48823 | AFLAC | $38 | $0 | $38 | 0.20% |
| MARIO HAIFA3 | 216 WARWICK DR. PITTSBURGH, PA 15241 | AFLAC | $22 | $0 | $22 | 0.12% |
| TERRASA M. VALENTI3 | 1400 SMOKEY WOOD DR. STE 610 PITTSBURGH, PA 15218 | AFLAC | $22 | $0 | $22 | 0.12% |
| MATTHEW MCCLAY3 | 1086 MANSFIELD AVE. INDIANA, PA 15701 | AFLAC | $19 | $0 | $19 | 0.10% |
| EVAN GERSON3 | 521 SALEM HEIGHTS DR. GIBSONIA, PA 15044 | AFLAC | $17 | $0 | $17 | 0.09% |
| MARY M CAMPBELL3 Filed as: MARY M. CAMPBELL | 9480 WEST Y AVENUE SCHOOLCRAFT, MI 49087 | AFLAC | $15 | $0 | $15 | 0.08% |
| TERESA L FOUTZ3 Filed as: TERESA FOUTZ | 1877 LEALAND AVE. POLAND, OH 44514 | AFLAC | $15 | $0 | $15 | 0.08% |
| RIFFE CONSULTING GROUP LLC3 Filed as: RIFFE CONSULTING GROUP, LLC | 219 TIMBER RDG CRANBERRY, PA 16066 | AFLAC | $11 | $0 | $11 | 0.06% |
| NICHOLAS DEAN SHIPE3 | 11037 BROADWAY, STE C CROWN POINT, IN 46307 | AFLAC | $10 | $0 | $10 | 0.05% |
| CHAD M. SCHWAN3 | 3792 COVE DR., NE KALKASKA, MI 49646 | AFLAC | $9 | $0 | $9 | 0.05% |
| NATHANIEL W PATTEN3 Filed as: NATHANIEL W. PATTEN | 825 FOX RIDGE CT. MARS, PA 16046 | AFLAC | $9 | $0 | $9 | 0.05% |
| CHRISTOPHER D BOULDREY3 Filed as: CHRISTOPHER D. BOULDREY | PO BOX 602 CONCORD, MI 49237 | AFLAC | $8 | $0 | $8 | 0.04% |
| BARBARA WEISSMAN3 | 1495 E. 24TH ST. BROOKLYN, NY 11210 | AFLAC | $8 | $0 | $8 | 0.04% |
| THE WORKSITE GROUP LLC3 Filed as: WORKSITE BENEFITS, LLC | 2643 120TH AVE. ALLEGAN, MI 49010 | AFLAC | $6 | $0 | $6 | 0.03% |
| DENNIS FENNELL3 | 8 BELVOIR DR. WASHINGTONVILLE, NY 10992 | AFLAC | $5 | $0 | $5 | 0.03% |
| CLIFF RAY RENSBERGER3 | 41 HICKORY LN. BATTLE CREEK, MI 49015 | AFLAC | $5 | $0 | $5 | 0.03% |
| JOY GRUBE PADGELEK3 | 1195 WASHINGTON PIKE, STE 300 BRIDGEVILLE, PA 15017 | AFLAC | $5 | $0 | $5 | 0.03% |
| BENJAMIN HUNTER3 | 11193 GUY ST. FISHERS, IN 46038 | AFLAC | $4 | $0 | $4 | 0.02% |
| BENJAMIN HUNTER3 | 18401 AVEBURY LN. WESTFIELD, IN 46062 | AFLAC | $2 | $0 | $2 | 0.01% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C. MEIER | 11835 QUEENS BLVD. STE 1403 FOREST HILLS, NY 11375 | AFLAC | $2 | $0 | $2 | 0.01% |
| DARIAN D STEWART3 Filed as: DARIAN D. STEWART | 6000 E. EVANS AVE. STE 1-330 DENVER, CO 80222 | AFLAC | $2 | $0 | $2 | 0.01% |
| JAMES BRADLEY SEIFERT3 | 157 MCCOY PLACE RD. SEWICKLEY, PA 15143 | AFLAC | $1 | $0 | $1 | 0.01% |
| JEFFREY CORREAL3 | 420 GENNY LANE UNIONTOWN, PA 15401 | AFLAC | $1 | $0 | $1 | 0.01% |
| BRENDAN W DEASY3 Filed as: BRENDAN W. DEASY | 534 W. 7TH AVE. WEST HOMESTEAD, PA 15120 | AFLAC | $1 | $0 | $1 | 0.01% |
| TREVOR FENNELL3 Filed as: TREVOR R. FENNELL | 11835 QUEENS BLVD. STE 1403 FOREST HILLS, NY 11375 | AFLAC | $1 | $0 | $1 | 0.01% |
| MENACHEM YIFAT3 | 482 HUNGRY HARBOR RD. VALLEY STREAM, NY 11581 | AFLAC | $1 | $0 | $1 | 0.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE, INC. | PO BOX 190 SELMA, AL 367020190 | HARTFORD LIFE AND ACCIDENT | $2K | $0 | $2K | 12.50% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE, INC. | 1050 CROWN POINTE PKWY, STE 600 ATLANTA, GA 30338 | VISION SERVICE PLAN | $544 | $0 | $544 | 8.96% |
| BRIAN W PATTEN3 Filed as: BRIAN PATTEN AGENCY, LLC | 120 MARGUERITE DR. CRANBERRY, PA 16066 | METROPOLITAN LIFE INSURANCE COMPANY | $785 | $0 | $785 | 15.06% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE, INC. | 1050 CROWN POINTE PKWY, STE 600 ATLANTA, GA 30338 | METROPOLITAN LIFE INSURANCE COMPANY | $66 | $0 | $66 | 1.27% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INTEGRA EMPLOYER HEALTH, LLC EIN 56-1392505 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $42K |
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 | 8,329 | 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) | 8,329 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | PRIORITY HEALTH | 3,704 | $14.3M |
| Dental | DENCAP DENTAL PLANS, INC. | 86 | $22K |
| Vision(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 1,857 | $151K |
| Life insurance(4 contracts, 4 carriers) | ANTHEM LIFE INSURANCE COMPANY | 1,576 | $166K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 121 | $51K |
| Stop-loss / reinsurancereinsurance | PHOENIX EXCESS RISK UNDERWRITERS | 995 | $1.1M |
| Other(3 contracts, 3 carriers) | AFLAC | 1,576 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,704 | — |
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.