| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEVEN CHRISTOPHER WIGHT3 Filed as: STEVEN C. WIGHT | 100 SMITH RANCH RD, STE 340 SAN RAFAEL, CA 94903 | FIRST UNUM LIFE INSURANCE COMPANY | $55K | $10K | $66K | 3.32% |
| LLOYD POMERANTZ3 Filed as: LLOYD M. POMERANTZ | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | FIRST UNUM LIFE INSURANCE COMPANY | $10K | — | $10K | 0.48% |
| MATTHEW POMERANTZ3 | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | FIRST UNUM LIFE INSURANCE COMPANY | $8K | — | $8K | 0.40% |
| NYLIFE SECURITIES LLC3 Filed as: NYLIFE SECURITIES LLC, INC | ATTN MARK BADLU 51 MADISON AVE, ROOM 251 NEW YORK, NY 10010 | FIRST UNUM LIFE INSURANCE COMPANY | — | $3K | $3K | 0.17% |
| TCS INSURANCE AGENCY INC3 | 101 LARKSPUR LANDING CIR., STE 116 LARKSPUR, CA 94939 | UNDERWRITERS AT LLOYD'S | $214K | — | $214K | 19.33% |
| TCS INSURANCE AGENCY INC3 | STE 340 100 SMITH RANCH RD SAN RAFAEL, CA 94903 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $45K | $45K | 8.53% |
| LLOYD POMERANTZ3 Filed as: LLOYD M. POMERANTZ | ONE WORLD TRADE CENTER NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $10K | $11K | $21K | 3.96% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST SUITE900 PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $15K | $15K | 2.79% |
| MATTHEW POMERANTZ3 | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $8K | — | $8K | 1.57% |
| ROBERT A. MILLER3 | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $7K | — | $7K | 1.35% |
| DANIEL CLIFTON TONEY3 | 101 LARKSPUR LANDING C STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $5K | $757 | $6K | 1.17% |
| JONATHAN MILLER3 Filed as: JONATHAN H. MILLER | 160 WEST END AVE, APT 7C NEW YORK, NY 10023 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $985 | — | $985 | 0.19% |
| SIDNEY M. MILLER3 | 120 BROADWAY 29TH FL NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $120 | — | $120 | 0.02% |
| STEVEN CHRISTOPHER WIGHT3 | 100 SMITH RANCH RD SUITE 340 SAN RAFAEL, CA 94903 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $31K | — | $31K | 6.35% |
| M FINANCIAL HOLDINGS INC3 | STE 900 1125 NW COUCH ST PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $10K | $10K | 2.11% |
| DANIEL CLIFTON TONEY3 | 101 LARKSPUR LNDG CIR STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $4K | $834 | $5K | 1.00% |
| MATTHEW POMERANTZ3 | ONE WORLD TRADE CENTER NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $5K | — | $5K | 0.94% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: THE L WARNER COMPANY INC | 9690 DEERECO RD STE 650 TIMONIUM, MD 21093 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $2K | $710 | $2K | 0.49% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $26 | — | $26 | 0.01% |
| KME INSURANCE BROKERAGE, INC.3 Filed as: KME INSURANCE BROKERAGE INCE | C/O KME INSURANCE BROKERAGE INC. STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| TCS INSURANCE AGENCY INC3 | STE 340 100 SMITH RANCH RD SAN RAFAEL, CA 94903 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $43K | $43K | 15.38% |
| LLOYD POMERANTZ3 Filed as: LLOYD M. POMERANTZ | ONE WORLD TRADE CENTER NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $5K | $4K | $9K | 3.24% |
| DANIEL CLIFTON TONEY3 | 101 LARKSPUR LANDING C STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $6K | $634 | $7K | 2.32% |
| MATTHEW POMERANTZ3 | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $4K | — | $4K | 1.50% |
| ROBERT A. MILLER3 | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $4K | — | $4K | 1.32% |
| JONATHAN MILLER3 | 106 WEST END AVE APT 7C NEW YORK, NY 10023 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $678 | — | $678 | 0.24% |
| SIDNEY M. MILLER3 | 120 BROADWAY 39TH FL NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $79 | — | $79 | 0.03% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST SUITE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $3K | $3K | 1.28% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: THE L WARNER COMPANY INC | 9690 DEERECO RD STE 650 TIMONIUM, MD 21093 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 0.47% |
| DANIEL CLIFTON TONEY3 | 101 LARKSPUR LNDG CIR STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $7K | — | $7K | 10.22% |
| ROBERT A. MILLER3 | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $762 | — | $762 | 1.17% |
| JONATHAN MILLER3 Filed as: JONATHAN H. MILLER | 160 WEST END AVE APT 7C NEW YORK, NY 10023 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $762 | — | $762 | 1.17% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $730 | $730 | 1.12% |
| LLOYD POMERANTZ3 Filed as: LLOYD M. POMERANTZ | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $666 | — | $666 | 1.02% |
| SIDNEY M. MILLER3 | 120 BROADWAY 29TH FL NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $665 | — | $665 | 1.02% |
| MATTHEW POMERANTZ3 | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | FIRST UNUM LIFE INSURANCE COMPANY | $2K | $282 | $2K | 5.00% |
| STEVEN CHRISTOPHER WIGHT3 Filed as: STEVEN C. WIGHT | 100 SMITH RANCH RD STE 340 SAN RAFAEL, CA 94903 | FIRST UNUM LIFE INSURANCE COMPANY | $2K | $152 | $2K | 6.68% |
| LLOYD POMERANTZ3 Filed as: LLOYD M .POMERANTZ | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | FIRST UNUM LIFE INSURANCE COMPANY | $305 | — | $305 | 1.06% |
| MATTHEW POMERANTZ3 | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | FIRST UNUM LIFE INSURANCE COMPANY | $254 | — | $254 | 0.88% |
| NYLIFE SECURITIES LLC3 | ATTN MARK BADLU 51 MADISON AVE, ROOM 251 NEW YORK, NY 10010 | FIRST UNUM LIFE INSURANCE COMPANY | — | $48 | $48 | 0.17% |
| TCS INSURANCE AGENCY INC3 | STE 340 100 SMITH RANCH RD SAN RAFAEL, CA 94903 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $2K | $6K | 22.99% |
| LLOYD POMERANTZ3 Filed as: LLOYD M POMERANTZ | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $615 | $67 | $682 | 2.65% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST SUITE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $513 | $513 | 1.99% |
| STEVEN CHRISTOPHER WIGHT3 | 100 SMITH RANCH RD STE 340 SAN RAFAEL, CA 94903 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $2K | — | $2K | 15.21% |
| TCS INSURANCE AGENCY INC3 | STE 340 100 SMITH RANCH RD SAN RAFAEL, CA 94903 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $2K | $2K | 13.65% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST SUITE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $627 | $627 | 3.94% |
| LLOYD POMERANTZ3 Filed as: LLOYD M. POMERANTZ | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $415 | $157 | $572 | 3.60% |
| MATTHEW POMERANTZ3 Filed as: MATTHEW P0MERANTZ | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $346 | — | $346 | 2.18% |
| ROBERT A. MILLER3 Filed as: ROBERT A MILLER | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $276 | — | $276 | 1.74% |
| JOSEPH ROBERT ROBERTORY3 | 10306 EATON PLACE, SUITE 420 FAIRFAX, VA 22030 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.08% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST, SUITE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $8 | $8 | 0.05% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $516 | — | $516 | 3.45% |
| DANIEL CLIFTON TONEY3 | 101 LARKSPUR LNDG CIR STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $56 | $7 | $63 | 0.42% |
| LLOYD POMERANTZ3 Filed as: LLOYD M. POMERANTZ | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $3 | $3 | 0.02% |
| TCS INSURANCE AGENCY INC3 | STE 340 100 SMITH RANCH RD SAN RAFAEL, CA 94903 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $957 | $640 | $2K | 11.61% |
| JAMES DAVID KORNREICH3 | 4 PURCHASE HILLS DR PURCHASE, NY 10577 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $506 | $131 | $637 | 4.63% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST SUITE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $277 | $277 | 2.01% |
| TCS INSURANCE AGENCY INC3 | STE 340 100 SMITH RANCH RD SAN RAFAEL, CA 94903 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $1K | $3K | 28.83% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST SUITE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $537 | $2K | 20.89% |
| LLOYD POMERANTZ3 Filed as: LLOYD M. POMERANTZ | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $296 | $104 | $400 | 3.77% |
| WILLIAM B MINTURN3 Filed as: WILLIAM B. MINTURN | 10 POST OFFICE RD SUITE 233 SILVER SPRING, MD 20910 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $204 | — | $204 | 3.33% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: THE NEW ENGLAND | ATTN TOWANA WHITEHURST 11225 N COMMUNITY HOUSE RD CHARLOTTE, NC 28277 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $56 | — | $56 | 0.91% |
| FREDERICK W. HOWARTH III3 Filed as: FREDERICK WILLIAM HOWARTH | III DBA TBG WEST INSURANCE SERVICES 6077 BRISTOL PARKWAY CULVER CITY, CA 90230 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $48 | $48 | 0.78% |
| CORNERSTONE FINANCIAL PARTNERS LLC3 | 185 MATTHEWS TERR MINERAL, VA 23117 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $34 | $34 | 0.56% |
| TCS INSURANCE AGENCY INC3 | STE 340 100 SMITH RANCH RD SAN RAFAEL, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $276 | — | $276 | 5.23% |
| DANIEL CLIFTON TONEY3 | 101 LARKSPUR LNDG CIR STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $219 | $29 | $248 | 4.70% |
| LLOYD POMERANTZ3 Filed as: LLOYD M. POMERANTZ | ONE WORLD TRADE CENTER 39TH FLOOR 285 FULTON STREET NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $23 | $46 | $69 | 1.31% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST SUITE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $33 | $33 | 0.62% |
| JONATHAN MILLER3 Filed as: JONATHAN H. MILLER | 160 WEST END AVE, APT. 7C NEW YORK, NY 10023 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $25 | — | $25 | 0.47% |
| SIDNEY M. MILLER3 | 120 BROADWAY 29TH FLOOR NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $10 | — | $10 | 0.19% |
| MATTHEW POMERANTZ3 | ONE WORKD TRADE CENTER 285 FULTON ST, 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $10 | — | $10 | 0.19% |
| MINTZ & VAN NEST INC3 | 420 BOULEVARD STE 109 MOUNTAIN LAKES, NJ 07046 | THE PAUL REVERE LIFE INSURANCE COMPANY | $84 | — | $84 | 2.61% |
| DAVIS, PHILIP, TOWNSEND3 | 457 MAIN ST STE 2C DANBURY, CT 06811 | THE PAUL REVERE LIFE INSURANCE COMPANY | $70 | — | $70 | 2.18% |
| TCS INSURANCE AGENCY INC3 | STE 340 100 SMITH RANCH RD SAN RAFAEL, CA 94903 | THE PAUL REVERE LIFE INSURANCE COMPANY | $18 | $9 | $27 | 0.84% |
| DANIEL CLIFTON TONEY3 | 101 LARKSPUR LNDG CIR STE 116 LARKSPUR, CA 94939 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $87 | — | $87 | 10.25% |
| ROBERT A. MILLER3 Filed as: ROBERT A MILLER | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $10 | — | $10 | 1.18% |
| JONATHAN MILLER3 Filed as: JONATHAN H. MILLER | 160 WEST END AVE APT 7C NEW YORK, NY 10023 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $10 | — | $10 | 1.18% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST PORTLAND, OR 97209 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $10 | $10 | 1.18% |
| LLOYD POMERANTZ3 Filed as: LLOYD M. POMERANTZ | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $9 | — | $9 | 1.06% |
| SIDNEY M. MILLER3 | 120 BROADWAY 29TH FL NEW YORK, NY 10271 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $8 | — | $8 | 0.94% |
| MATTHEW POMERANTZ3 | ONE WORLD TRADE CENTER 285 FULTON ST 39TH FL NEW YORK, NY 10007 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $1 | — | $1 | 0.12% |
| NFP INSURANCE SERVICES INC3 Filed as: MANAGEMENT COMPENSATION GROUP | SOUTHEAST INC 40 WALL ST STE 1304 NEW YORK, NY 10005 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $7 | $1 | $8 | 6.11% |
| ROBERT EMMETT MCKILLOP3 | STE 270 9301 SW FREEWAY HOUSTON, TX 77074 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $7 | $1 | $8 | 6.11% |
| MARSH & MCLENNAN AGENCY LLC3 | STE 2400 2500 CITY WEST BLVD HOUSTON, TX 77042 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $1 | $1 | 0.76% |
| NFP INSURANCE SERVICES INC3 | 1250 CAPITAL OF TEXAS HWY BLDG 2 STE 125 AUSTIN, TX 78746 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $1 | $1 | 0.76% |
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 | 2,039 | 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) | 2,039 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Short-term disability(19 contracts, 5 carriers) | FIRST UNUM LIFE INSURANCE COMPANY | 1,984 | $4.9M |
| Long-term disability(19 contracts, 5 carriers) | FIRST UNUM LIFE INSURANCE COMPANY | 1,984 | $4.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,984 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.