| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HORIZON INSURANCE COMPANY3 Filed as: HORIZON HEALTHCARE INSURANCE AGENCY | 3 PENN PLAZA E. NEWARK, NJ 071052258 | SYMETRA LIFE INSURANCE COMPANY | $106K | $43K | $149K | 14.04% |
| CONNER STRONG & BUCKELEW3 | 401 ROUTE 73 NORTH P.O. BOX 989 MARLTON, NJ 08053 | AETNA LIFE INSURANCE CO. | $17K | $31K | $48K | 6.81% |
| CONNER STRONG & BUCKELEW3 | 401 ROUTE 73 NORTH P.O. BOX 989 MARLTON, NJ 08053 | TRANSAMERICA LIFE INSURANCE COMPANY | $34K | — | $34K | 18.80% |
| CONNER STRONG & BUCKELEW3 | 401 ROUTE 73 NORTH P.O. BOX 989 MARLTON, NJ 08053 | EYEMED VISION CARE (COMBINED INSURANCE COMPANY OF AMERICA) | $20K | — | $20K | 16.09% |
| SUSAN E. KEELER3 | 9222 54TH CT. E PARRISH, FL 34219 | AFLAC | $948 | — | $948 | 4.87% |
| KIM J WILLIAMS3 Filed as: KIM J. WILLIAMS | 4406 FOREST VALLEY CIRCLE VALDOSTA, GA 31602 | AFLAC | $165 | — | $165 | 0.85% |
| KIMBERLY MYERS3 | 257 PEOPLES CREEK ROAD ADVANCE, NC 27006 | AFLAC | $158 | — | $158 | 0.81% |
| THOMAS L LUEBCHOW3 Filed as: THOMAS LUEBCHOW | 390 PILOT RIDGE DRIVE LEWISVILLE, NC 27023 | AFLAC | $131 | — | $131 | 0.67% |
| SUE M. CARLTON3 | 624 LAVERTON LANE RURAL HALL, NC 27045 | AFLAC | $124 | — | $124 | 0.64% |
| DIANA HOMA3 | 8880 BENSON AVENUE SUITE 106 MONTCLAIR, CA 91763 | AFLAC | $106 | — | $106 | 0.54% |
| DEE W SLATER3 Filed as: DEE W. SLATER | 6847 WELLSLEY COURT CLEMMONS, NC 27012 | AFLAC | $81 | — | $81 | 0.42% |
| PEGGY MORRIS3 | 2720 WOODLORE TRAIL WINSTON SALEM, NC 27103 | AFLAC | $70 | — | $70 | 0.36% |
| ROCIO VILLASENOR3 | 701 W. AVENIDA DE LA MERCED MONTEBELLO, CA 90640 | AFLAC | $41 | — | $41 | 0.21% |
| LORRAINE MALO3 | 10254 DOGWOOD STREET FIRESTONE, CO 80504 | AFLAC | $41 | — | $41 | 0.21% |
| D AND V BUTLER INC3 Filed as: J. BUTLER | 1440 OLD LENOIR ROAD SUITE A HICKORY, NC 28601 | AFLAC | $36 | — | $36 | 0.18% |
| SIRANOUSH SARA MKRTCHIAN3 Filed as: SIRANOUSH MKRTCHIAN | 11014 LORENE STREET WHITTIER, CA 90601 | AFLAC | $32 | — | $32 | 0.16% |
| KATHLEEN LEININGER INS SERVICES INC3 | 8880 BENSON AVENUE SUITE 106 MONTCLAIR, CA 91763 | AFLAC | $23 | — | $23 | 0.12% |
| JAMES R HILL JR3 Filed as: JAMES HILL JR. | P.O. BOX 13272 GREENSBORO, NC 27415 | AFLAC | $20 | — | $20 | 0.10% |
| SARA CZARECKI3 | 4 FARMHOUSE LANE MENDHAM, NJ 07945 | AFLAC | $19 | — | $19 | 0.10% |
| SUSAN M. LUEBCHOW3 | 390 PILOT RIDGE DRIVE LEWISVILLE, NC 27023 | AFLAC | $19 | — | $19 | 0.10% |
| LAURA T DRAY3 Filed as: LAURA T. DRAY | 686 OAK VALLEY BLVD ADVANCE, NC 27006 | AFLAC | $19 | — | $19 | 0.10% |
| DOREEN J KRESSATY3 Filed as: DOREEN J. KRESSATY | 155 PARISH DRIVE WAYNE, NJ 07470 | AFLAC | $17 | — | $17 | 0.09% |
| NORMA ALICIA MIRANDA3 | 30955 AVENIDA LOS NINOS CATHERDRAL CITY, CA 92234 | AFLAC | $15 | — | $15 | 0.08% |
| KELLY LEBSACK3 Filed as: KELLY D. LEBSACK | 826 NORTH ELM STREET GREENSBORO, NC 27410 | AFLAC | $14 | — | $14 | 0.07% |
| DOUGLAS J SUCHECKI3 Filed as: DOUGLAS J. SUCHECKI | 3850 VINE STREET SUITE 130 RIVERSIDE, CA 92507 | AFLAC | $13 | — | $13 | 0.07% |
| HEATHER BUTNER3 | 175 CABOT DRIVE WINSTON SALEM, NC 27103 | AFLAC | $13 | — | $13 | 0.07% |
| DAVID J REESOR3 Filed as: DAVID J. REESOR | 2001 E. FINANCIAL WAY SUITE 201 GLENDORA, CA 91741 | AFLAC | $12 | — | $12 | 0.06% |
| CALIFORNIA BENEFIT PLANS INC3 Filed as: CALIFORNIA BENEFIT PLANS INC. | 1 EAST CAMELBACK ROAD SUITE 840 PHOENIX, AZ 85012 | AFLAC | $12 | — | $12 | 0.06% |
| CORINE BROUWER3 | 2 WARBLER DR. FLETHCER, NC 28732 | AFLAC | $12 | — | $12 | 0.06% |
| NEIL J. RECKON3 | 1824 CALLE CUERVOS SAN DIMAS, CA 91773 | AFLAC | $11 | — | $11 | 0.06% |
| MICHAEL A FORNARO3 Filed as: MICHAEL A. FORNARO | 271 US HIGHWAY 46 SUITE H-119 FAIRFIELD, NJ 07004 | AFLAC | $10 | — | $10 | 0.05% |
| LARRY W NICHOLSON3 Filed as: LARRY W. NICHOLSON | 816 ACOMA STREET UNIT 215 DENVER, CO 80204 | AFLAC | $10 | — | $10 | 0.05% |
| CYNTHIA LUQUIN3 | 1615 WILSON AVENUE UPLAND, CA 91784 | AFLAC | $9 | — | $9 | 0.05% |
| MISTY COOK3 | 341 CORNERSTONE ROAD LEXINGTON, NC 27292 | AFLAC | $8 | — | $8 | 0.04% |
| AMY NORMAN3 | 4928 COUNTRY RIDGE ROAD R CLEMMONS, NC 27012 | AFLAC | $7 | — | $7 | 0.04% |
| CHRISTOPHER S. DISBROW3 | 10981 LOYOLA COURT RANCHO CUCAMONGA, CA 91701 | AFLAC | $7 | — | $7 | 0.04% |
| JOSEPH P CALARCO3 Filed as: JOSEPH EVANS | 4721 BROOKVIEW DRIVE WEST DES MOINES, IA 50265 | AFLAC | $6 | — | $6 | 0.03% |
| CARLA VINKLER3 | 837 POWERS BLVD WAVERLY, TN 37185 | AFLAC | $6 | — | $6 | 0.03% |
| TERI MAYNARD3 | 1234 CALIFORNIA DRIVE MURFREESBORO, TN 37129 | AFLAC | $6 | — | $6 | 0.03% |
| WILMA DAVIS3 | 4216 JOES LAKE ROAD EAST BEND, NC 27018 | AFLAC | $6 | — | $6 | 0.03% |
| ANNE CASSIDY3 Filed as: ANNE E. CASSIDY | 354 OVERTURE WAY CENTREVILLE, MD 21617 | AFLAC | $5 | — | $5 | 0.03% |
| FAYE ROBINSON3 | 3915 CHILTON DRIVE WINSTON SALEM, NC 27106 | AFLAC | $5 | — | $5 | 0.03% |
| TIMOTHY MCDERMOTT3 | 630 BOULEVARD SUITE 100 ELMWOOD PARK, NJ 07407 | AFLAC | $5 | — | $5 | 0.03% |
| THOMPSON & ASSOCIATES INSURANCE INC3 | 2743 S. SANDPIPER AVENUE ONTARIO, CA 91761 | AFLAC | $5 | — | $5 | 0.03% |
| GREGORY MEYER3 Filed as: GREGORY EUGENE MEYER | 1582 RUNNING DEER DRIVE KERNERSVILLE, NC 27284 | AFLAC | $5 | — | $5 | 0.03% |
| KAREN M HUGHES3 Filed as: KAREN HUGHES | 3120 NORTH EAST 47TH STREET FORT LAUDERDALE, FL 33308 | AFLAC | $5 | — | $5 | 0.03% |
| TERRANCE M LUCZAJ3 Filed as: TERRANCE LUCZAJ | 255 E. RINCON STREET SUITE 110 CORONA, CA 92879 | AFLAC | $4 | — | $4 | 0.02% |
| KANDI M MCINTYRE3 Filed as: KANDI MCINTYRE | 2000 MALLORY LANE SUITE 130-378 FRANKLIN, TN 37067 | AFLAC | $4 | — | $4 | 0.02% |
| JERRY BLUE3 | 1200 EASTCHESTER SUITE 204 HIGH POINT, NC 27265 | AFLAC | $4 | — | $4 | 0.02% |
| ANDREW R GRETHEL3 Filed as: ANDREW GRETHEL | 600 SOUTH HIDDEN VALLEY ROAD #150 CARLSBAD, CA 92011 | AFLAC | $3 | — | $3 | 0.02% |
| FRED A KRESSATY3 Filed as: FRED A. KRESSATY | 155 PARISH DRIVE WAYNE, NJ 07470 | AFLAC | $3 | — | $3 | 0.02% |
| KATHERINE HERMES3 | P.O. BOX 283 3 DEWEY A GLADSTONE, NJ 07934 | AFLAC | $3 | — | $3 | 0.02% |
| KAREN E ALTMIRE3 Filed as: KAREN E. ALTMIRE | 12800 MIDDLEBROOK ROAD SUITE 490 GERMANTOWN, MD 20874 | AFLAC | $3 | — | $3 | 0.02% |
| MICHAEL S CHILLE3 Filed as: MICHAEL CHILLE | AFLAC NY, 22 CORPORATE WOODS BLVD 4TH FLOOR ALBANY, NY 12211 | AFLAC | $3 | — | $3 | 0.02% |
| MELISSA MURBACH3 | 1105 LAUREL BLUFF DRIVE KING, NC 27021 | AFLAC | $3 | — | $3 | 0.02% |
| ALBERT SHUST3 | 200 CENTENNIAL AVENUE SUITE 105 PISCATAWAY, NJ 08854 | AFLAC | $2 | — | $2 | 0.01% |
| JULIE L WOLD3 Filed as: JULIE WOLD | 495 E. RINCON ST. SUITE 212 CORONA, CA 92879 | AFLAC | $2 | — | $2 | 0.01% |
| DOMINICK R SIRACUSA3 Filed as: DOMINICK R. SIRACUSA | 225 DOLSON AVENUE SUITE 304 MIDDLETOWN, NY 10940 | AFLAC | $2 | — | $2 | 0.01% |
| JOSEPH A BUZZELLO3 Filed as: JOSEPH A. BUZZELLO | 9018 BALBOA BLVD SUITE 254 NORTHRIDGE, CA 91325 | AFLAC | $2 | — | $2 | 0.01% |
| RITA B. LINVILLE3 | 251 MEADOW BEAUTY DRIVE APEX, NC 27539 | AFLAC | $2 | — | $2 | 0.01% |
| KAREN BELCHER3 | 363 BENTCREEK DRIVE LEXINGTON, NC 27295 | AFLAC | $2 | — | $2 | 0.01% |
| L. HOOD3 | 157 WEST WALL ROAD KING, NC 27021 | AFLAC | $2 | — | $2 | 0.01% |
| ROBERT P MCFARLAND3 Filed as: ROBERT INGRAM III | 227 CHRISTENBURY LANE CLAYTON, NC 27527 | AFLAC | $2 | — | $2 | 0.01% |
| DANIEL E ALTMIRE3 Filed as: DANIEL ALTMIRE | 12800 MIDDLEBROOK ROAD SUITE 490 GERMANTOWN, MD 20874 | AFLAC | $1 | — | $1 | 0.01% |
| JANICE ADAMSON3 | 495 E. RICON ST. SUITE 212 CORONA, CA 92879 | AFLAC | $1 | — | $1 | 0.01% |
| KEVIN R MCINERNEY3 Filed as: KEVIN R. MCINERNEY | 580 WHITE PLAINS ROAD SUITE 600 TARRYTOWN, NY 10591 | AFLAC | $1 | — | $1 | 0.01% |
| ROBERT L GOBLE3 Filed as: ROBERT L. GOBLE | 1410 4TH STREET DR. NW UNIT 208 HICKORY, NC 28601 | AFLAC | $1 | — | $1 | 0.01% |
| RONALD I MARTINDALE3 Filed as: RONALD I. MARTINDALE | 1242 N. SAN DIMAS CANYON ROAD SAN DIMAS, CA 91773 | AFLAC | $1 | — | $1 | 0.01% |
| RICHARD LEWIS3 | 108 WAVERLY CIRCLE SALISBURY, NC 28144 | AFLAC | $1 | — | $1 | 0.01% |
| ROBERT LABONTE3 | 1659 W. SAN REMO ST. GILBERT, AZ 85233 | AFLAC | $1 | — | $1 | 0.01% |
| CONNER STRONG & BUCKELEW3 | 401 ROUTE 73 NORTH P.O. BOX 989 MARLTON, NJ 08053 | FEDERAL INSURANCE COMPANY (CHUBB) | $848 | — | $848 | 15.00% |
| SUSAN E. KEELER3 | 9222 54TH COURT E. PARRISH, FL 34219 | CONTINENTAL AMERICAN INSURANCE COMPANY | $934 | — | $934 | 33.20% |
| DIANA HOMA3 Filed as: DIANA NILL | 8880 BENSON AVENUE SUITE 106 MONCLAIR, CA 91763 | CONTINENTAL AMERICAN INSURANCE COMPANY | $184 | — | $184 | 6.54% |
| KIMBERLY MYERS3 Filed as: KIMBERLY S. MYERS | 257 PEOPLES CREEK ROAD ADVANCE, NC 27006 | CONTINENTAL AMERICAN INSURANCE COMPANY | $169 | — | $169 | 6.01% |
| KIM J WILLIAMS3 Filed as: KIM J. WILLIAMS | 4406 FOREST VALLEY CIRCLE VALDOSTA, GA 31602 | CONTINENTAL AMERICAN INSURANCE COMPANY | $168 | — | $168 | 5.97% |
| MISTY COOK3 Filed as: MISTY L. COOK | 341 CORNERSTONE ROAD LEXINGTON, NC 27292 | CONTINENTAL AMERICAN INSURANCE COMPANY | $86 | — | $86 | 3.06% |
| JAMES R HILL JR3 Filed as: JAMES R. HILL JR. | 7021 MARSEILLES COURT SUMMERFIELD, NC 27358 | CONTINENTAL AMERICAN INSURANCE COMPANY | $79 | — | $79 | 2.81% |
| CHRISTINA E. WAGONER3 | 3656 SIGNET DRIVE WINSTON-SALEM, NC 27101 | CONTINENTAL AMERICAN INSURANCE COMPANY | $78 | — | $78 | 2.77% |
| DEE W SLATER3 Filed as: DEE W. SLATER | 155 EXETER COURT WINSTON-SALEM, NC 27103 | CONTINENTAL AMERICAN INSURANCE COMPANY | $67 | — | $67 | 2.38% |
| KATHLEEN LEININGER INS SERVICES INC3 | 13655 NIMES COURT CHINO HILLS, CA 91709 | CONTINENTAL AMERICAN INSURANCE COMPANY | $66 | — | $66 | 2.35% |
| SARA CZARECKI3 Filed as: SARA G. CZARECKI | 4 FARMHOUSE LANE MENDHAM, NJ 07945 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | — | $18 | 0.64% |
| TIMOTHY MCDERMOTT3 Filed as: TIMOTHY M. MCDERMOTT | 111 RAAB AVENUE BLOOMFIELD, NJ 07003 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17 | — | $17 | 0.60% |
| ERIC MILLER3 | 6631 FOX RIDGE CIRCLE DAVIDSON, NC 28036 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | — | $13 | 0.46% |
| TERRANCE M LUCZAJ3 Filed as: TERRANCE M. LUCZAJ | 1201 MAIN STREET SUITE 2300 COLUMBIA, SC 29201 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.32% |
| MICHAEL FORNARO3 | 271 ROUTE 46 WEST SUITE H-119 FAIRFIELD, NJ 07004 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8 | — | $8 | 0.28% |
| BRANDON C ADAMS3 Filed as: BRANDON C. ADAMS | 6402 BIRKDALE DRIVE GREENSBORO, NC 27410 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | — | $7 | 0.25% |
| KATRINA D AIKEN3 Filed as: KATRINA D. AIKEN | 3462 38TH STREET DRIVE NE HICKORY, NC 28601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.21% |
| JAMES R HILL JR3 Filed as: JAMES R. HILL JR. | 7021 MARSEILLES COURT SUMMERFIELD, NC 27358 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.21% |
| RUSSELL W TINNEY3 Filed as: RUSSELL W. TINNEY | 824 S. MILLS ROAD MOYOCK, NC 27958 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.18% |
| DEBORAH A WITHEY3 Filed as: DEBORAH A. WITHEY | 2155 6TH STREET NE HICKORY, NC 28601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.14% |
| ALBERT SHUST3 | 30 KNIGHTSBRIDGE ROAD BLDG 6 SUITE 603 PISCATAWAY, NJ 08854 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.14% |
| MIKE BUTLER3 | 1090 13TH AVENUE NW HICKORY, NC 28601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.11% |
| KAREN E ALTMIRE3 Filed as: KAREN E. ALTMIRE | 12800 MIDDLEBROOK ROAD SUITE 490 GERMANTOWN, MD 20874 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.07% |
| ANNE CASSIDY3 | 354 OVERTURE WAY CENTREVILLE, MD 21617 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.07% |
| FRANKLIN TRAVIS BLACK3 Filed as: FRANKLIN TRAVIS BLACK, BLACK | 5981 WOODFIEL D DRIVE KERNERSVILLE, NC 27284 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.04% |
| RUSSELL W TINNEY3 Filed as: RUSSELL W. TINNEY | 11520 NUCKOLS ROAD SUITE 103 GLEN ALLEN, VA 23059 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.04% |
| ANDREW R GRETHEL3 Filed as: ANDREW R. GRETHEL | 6005 HIDDEN VALLEY ROAD SUITE 150 CARLSBAD, CA 92011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.04% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN A. PITUCH | 23 MORGAN DRIVE SPARTA, NJ 07871 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.04% |
| DANIEL E ALTMIRE3 Filed as: DANIEL ALTMIRE | 12800 MIDDLEBROOK ROAD SUITE 490 GERMANTOWN, MD 20874 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.04% |
| STEPHAN E. KAMRASS3 | 31200 E. CHURCHILL LANE WESTLAKE, OH 44145 | AFLAC | $10 | — | $10 | 7.81% |
| GREGORY E MEYER3 Filed as: GREGORY E. MEYER | 1582 RUNNING DEER DRIVE KERNERSVILLE, NC 27284 | AFLAC | $2 | — | $2 | 1.56% |
| MICHAEL S CHILLE3 Filed as: MICHAEL S. CHILLE | 22 CORPORATE WOODS BOULEVARD 4TH FLOOR ALBANY, NY 12211 | AFLAC | $1 | — | $1 | 0.78% |
| CHODORCOFF, ALAN M3 Filed as: A. CHODORCOFF | 109 JESSE COURT MONTVILLE, NJ 07045 | AFLAC | $1 | — | $1 | 0.78% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HORIZON HEALTHCARE SERVICES, INC. EIN 22-0999690 CONTRACT ADMINISTRATOR | Insurance agents and brokers; Contract Administrator Service code 13 | — | $513K |
| METROPOLITAN LIFE INSURANCE EIN 13-5581829 SERVICE PROVIDER | Contract Administrator; Claims processing Service code 12 | — | $54K |
| AETNA LIFE INSURANCE CO. EIN 06-6033492 BROKER | Insurance agents and brokers Service code 22 | — | $0 |
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 | 1,419 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,429 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED VISION CARE (COMBINED INSURANCE COMPANY OF AMERICA) | 2,164 | $125K |
| Life insurance | AETNA LIFE INSURANCE CO. | 1,419 | $700K |
| Short-term disability(5 contracts, 4 carriers) | AETNA LIFE INSURANCE CO. | 1,419 | $905K |
| Long-term disability | AETNA LIFE INSURANCE CO. | 1,419 | $700K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 1,235 | $1.1M |
| Other(6 contracts, 5 carriers) | AETNA LIFE INSURANCE CO. | 1,419 | $910K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,164 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.