| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KISTLER TIFFANY BENEFITS3 | 400 BERWYN PARK, SUITE 200 BERWYN, PA 19312 | HIGHMARK INC. | $35K | — | $35K | 2.23% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP INC. | 4550 LENA DRIVE MECHANICSBURG, PA 17050 | HIGHMARK INC. | $66 | — | $66 | 0.00% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | SUN LIFE ASSURANCE COMPANY OF CANADA | $31K | $4K | $35K | 12.75% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED OF OMAHA INSURANCE COMPANY | $26K | $0 | $26K | 10.08% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA INSURANCE COMPANY | $0 | $6K | $6K | 2.45% |
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 | 2,175 | 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) | 2,175 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK INC. | 207 | $1.6M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 423 | $278K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 423 | $278K |
| Life insurance | UNITED OF OMAHA INSURANCE COMPANY | 2,175 | $255K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 423 | $278K |
| Prescription drug | HIGHMARK INC. | 207 | $1.6M |
| Other | UNITED OF OMAHA INSURANCE COMPANY | 2,175 | $255K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,175 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.