| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TCS INSURANCE AGENCY INC3 Filed as: TCS INSURANCE AGENCY INC. | 101 LARKSPUR LANDING CIRCLE LARKSPUR, CA 94939 | FIRST UNUM LIFE INSURANCE COMPANY | $34K | $7K | $41K | 3.43% |
| JONATHAN MILLER3 | 160 WEST END AVE APT 7C NEW YORK, NY 10023 | FIRST UNUM LIFE INSURANCE COMPANY | $4K | — | $4K | 0.33% |
| ROBERT A. MILLER3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | FIRST UNUM LIFE INSURANCE COMPANY | $4K | — | $4K | 0.33% |
| LLOYD POMERANTZ3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | FIRST UNUM LIFE INSURANCE COMPANY | $4K | — | $4K | 0.33% |
| MATTHEW POMERANTZ3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | FIRST UNUM LIFE INSURANCE COMPANY | $3K | — | $3K | 0.25% |
| NYLIFE SECURITIES LLC3 Filed as: NYLIFE SECURITIES, LLC | ATTN MARK BADLU 51 MADISON AVE, ROOM 151 NEW YORK, NY 10010 | FIRST UNUM LIFE INSURANCE COMPANY | $0 | $3K | $3K | 0.24% |
| DANIEL TONEY3 | 101 LARKSPUR LANDING CIRCLE,STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $40K | — | $40K | 12.23% |
| TSC INSURANCE AGENCY INC.3 | DBA TRADEMARK CAPITAL SERVICES 101 LARKSPUR LANDING CIRCLE,STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $31K | $31K | 9.42% |
| LLOYD POMERANTZ3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $4K | $8K | $12K | 3.61% |
| JONATHAN MILLER3 | 160 WEST END AVE APT 7C NEW YORK, NY 10023 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $5K | — | $5K | 1.40% |
| ROBERT MILLER3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $5K | — | $5K | 1.40% |
| SIDNEY MILLER3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $3K | — | $3K | 0.96% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST STE 116 PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $1K | $1K | 0.40% |
| MATTHEW POMERANTZ3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $724 | — | $724 | 0.22% |
| DANIEL TONEY3 | 101 LARKSPUR LANDING CIR.,STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $43K | — | $43K | 13.02% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST STE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $6K | $6K | 1.91% |
| JONATHAN MILLER3 | 160 WEST END AVE APT 7C NEW YORK, NY 10023 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $5K | — | $5K | 1.48% |
| ROBERT MILLER3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $5K | — | $5K | 1.48% |
| LLOYD POMERANTZ3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $4K | — | $4K | 1.29% |
| SIDNEY MILLER3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $4K | — | $4K | 1.28% |
| MATTHEW POMERANTZ3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $33 | — | $33 | 0.01% |
| DANIEL TONEY3 | 101 LARKSPUR LANDING CIR, STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $18K | — | $18K | 10.22% |
| TCS INSURANCE AGENCY INC3 | DBA TRADEMARK CAPITAL SERVICES 101 LARKSPUR LANDING CIR, STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $11K | $11K | 6.50% |
| FREDERICK W. HOWARTH III3 Filed as: FREDERICK HOWARTH | DBA TBG WEST INSURANCE SERVICES 6077 BRISTOL PARKWAY CULVER CITY, CA 90230 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $3K | $2K | $5K | 2.76% |
| MATTHEW POMERANTZ3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $190 | $3K | $3K | 1.70% |
| JONATHAN MILLER3 | 160 WEST END AVE APT 7C NEW YORK, NY 10023 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $2K | — | $2K | 1.18% |
| ROBERT MILLER3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $2K | — | $2K | 1.15% |
| LLOYD POMERANTZ3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $2K | — | $2K | 1.05% |
| SIDNEY MILLER3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $2K | — | $2K | 0.90% |
| FRENKEL BENEFITS LLC3 | 350 HUDSON STREET, 4TH FLOOR NEW YORK, NY 10014 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $490 | $347 | $837 | 0.48% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH STREET SUITE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $553 | $553 | 0.32% |
| AON CONSULTING INC3 | PO BOX 905494 CHARLOTTE, NC 28290 | FIRST UNUM LIFE INSURANCE COMPANY | $7K | $551 | $8K | 4.87% |
| FRENKEL BENEFITS LLC3 | 350 HUDSON STREET 4TH FLOOR NEW YORK, NY 10014 | FIRST UNUM LIFE INSURANCE COMPANY | $230 | $121 | $351 | 0.22% |
| DANIEL TONEY3 | 101 LARKSPUR LANDING CIRCLE,STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $15K | — | $15K | 13.09% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST, STE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $2K | $2K | 1.93% |
| JONATHAN MILLER3 | 160 WEST END AVE APT 7C NEW YORK, NY 10023 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $2K | — | $2K | 1.49% |
| ROBERT A. MILLER3 | 120 BROADWAY, 29TH FL NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $2K | — | $2K | 1.49% |
| LLOYD M. POMERTANZ3 | 120 BROADWAY, 29TH FL NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $2K | — | $2K | 1.30% |
| SIDNEY M. MILLER3 | 120 BROADWAY, 29TH FL NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $2K | — | $2K | 1.30% |
| DANIEL TONEY3 | 101 LARKSPUR LANDING CIR, STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $11K | — | $11K | 14.02% |
| TCS INSURANCE AGENCY INC3 | DBA TRADEMARK CAPITAL SERVICES 101 LARKSPUR LANDING CIR, STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $10K | $10K | 13.52% |
| LLOYD POMERANTZ3 | 120 BROADWAY 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $1K | $3K | $4K | 5.07% |
| JONATHAN MILLER3 | 160 WEST END AVENUE APT 7C NEW YORK, NY 10023 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $1K | — | $1K | 1.60% |
| ROBERT MILLER3 | 120 BROADWAY 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $1K | — | $1K | 1.60% |
| MATTHEW POMERANTZ3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $509 | — | $509 | 0.67% |
| SIDNEY MILLER3 | 120 BROADWAY 37TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $463 | — | $463 | 0.61% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST, STE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $383 | $383 | 0.51% |
| DANIEL TONEY3 | 101 LARKSPUR LANDING CIR, STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $5K | — | $5K | 13.63% |
| ROBERT MILLER3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $572 | — | $572 | 1.55% |
| JONATHAN MILLER3 Filed as: JONATHAN H. MILLER | 160 WEST END AVE APT 7C NEW YORK, NY 10023 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $572 | — | $572 | 1.55% |
| LLOYD POMERANTZ3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $502 | — | $502 | 1.36% |
| SIDNEY MILLER3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $491 | — | $491 | 1.33% |
| M FINANCIAL HOLDINGS INC3 Filed as: M FINANCIAL | 1125 NW COUCH STREET, STE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $72 | $72 | 0.20% |
| MATTHEW POMERANTZ3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $8 | — | $8 | 0.02% |
| AON CONSULTING INC3 | P.O. BOX 905494 CHARLOTTE, NC 28290 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 5.00% |
| ROBERT ROBERTORY3 | NORTHWESTERN MUTUAL 10306 EATON PL, STE 420 FAIRFAX, VA 22030 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $20 | — | $20 | 0.10% |
| AON CONSULTING INC3 | PO BOX 905494 CHARLOTTE, NC 282905494 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $1K | — | $1K | 5.00% |
| ROBERT ROBERTORY3 Filed as: ROBERT J ROBERTORY | NORTHWESTERN MUTUAL 10306 EATON PL, SUITE 420 FAIRFAX, VA 22030 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $20 | — | $20 | 0.10% |
| DANIEL TONEY3 Filed as: DANIEL C TONEY | 101 LARKSPUR LANDING CIR., STE 116 LARKSPUR, CA 94939 | FIRST UNUM LIFE INSURANCE COMPANY | $1K | $103 | $1K | 7.01% |
| JONATHAN MILLER3 | 160 WEST END AVE APT 7C NEW YORK, NY 10023 | FIRST UNUM LIFE INSURANCE COMPANY | $146 | — | $146 | 0.74% |
| ROBERT A. MILLER3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | FIRST UNUM LIFE INSURANCE COMPANY | $146 | — | $146 | 0.74% |
| LLOYD POMERANTZ3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | FIRST UNUM LIFE INSURANCE COMPANY | $146 | — | $146 | 0.74% |
| MATTHEW POMERANTZ3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | FIRST UNUM LIFE INSURANCE COMPANY | $109 | — | $109 | 0.55% |
| NYLIFE SECURITIES LLC3 | ATTN MARK BADLU 51 MADISON AVE, RM 606 NEW YORK, NY 10010 | FIRST UNUM LIFE INSURANCE COMPANY | — | $44 | $44 | 0.22% |
| DANIEL TONEY3 | 101 LARKSPUR LANDING CIR, STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $2K | — | $2K | 13.62% |
| TCS INSURANCE AGENCY INC3 | DBA TRADEMARK CAPITAL SERVICES 101 LARKSPUR LANDING CIR, STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $2K | $2K | 12.04% |
| LLOYD POMERANTZ3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $232 | $411 | $643 | 4.12% |
| ROBERT MILLER3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $242 | — | $242 | 1.55% |
| JONATHAN MILLER3 | 160 WEST END AVE APT 7C NEW YORK, NY 10023 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $242 | — | $242 | 1.55% |
| MATTHEW POMERANTZ3 | 120 BROADWAY, 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $119 | — | $119 | 0.76% |
| SIDNEY MILLER3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $73 | — | $73 | 0.47% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST SUITE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $71 | $71 | 0.46% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC | PO BOX 905494 CHARLOTTE, NC 28290 | THE PAUL REVERE LIFE INSURANCE COMPANY | $136 | — | $136 | 2.19% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | 3500 LENOX ROAD SUITE 1600 ATLANTA, GA 30326 | THE PAUL REVERE LIFE INSURANCE COMPANY | $87 | — | $87 | 1.40% |
| DANIEL TONEY3 | 101 LARKSPUR LANDING CIR, STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $374 | — | $374 | 6.46% |
| TCS INSURANCE AGENCY INC3 | DBA TRADEMARK CAPITAL SERVICES 101 LARKSPUR LANDING CIR, STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $311 | $311 | 5.38% |
| LLOYD POMERANTZ3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $30 | $34 | $64 | 1.11% |
| JONATHAN MILLER3 | 160 WEST END AVE APT 7C NEW YORK, NY 10023 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $34 | — | $34 | 0.59% |
| ROBERT MILLER3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $34 | — | $34 | 0.59% |
| SIDNEY MILLER3 | 120 BROADWAY, FLOOR 29 NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $30 | — | $30 | 0.52% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH STREET,STE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $9 | $9 | 0.16% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: THE L WARNER COMPANY INC. | 9690 DEERECO ROAD SUITE 650 TIMONIUM, MD 21093 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $698 | — | $698 | 19.00% |
| M FINANCIAL HOLDINGS INC3 Filed as: M FINANCIAL HOLDINGS INC. | 1125 NW COUCH STREET SUITE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $73 | $73 | 1.99% |
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 | 1,789 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 1,789 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Short-term disability(13 contracts, 4 carriers) | FIRST UNUM LIFE INSURANCE COMPANY | 1,619 | $2.5M |
| Long-term disability(13 contracts, 4 carriers) | FIRST UNUM LIFE INSURANCE COMPANY | 1,619 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,619 | — |
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.