| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT HESLEP3 Filed as: ROBERT WILDERSPIN | 6364 LONG IVY WAY SUGAR HILL, GA 30518 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14K | $341 | $14K | 5.12% |
| USI INSURANCE SERVICES LLC3 | 1215 MANOR DRIVE MECHANICSBURG, PA 17055 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14K | $162 | $14K | 5.01% |
| ANDREA STEARNS3 | 2310 LONGCREST AVE BETHEL PARK, PA 15102 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $666 | $5K | 1.77% |
| ASSURANCE AGENCY LTD3 Filed as: EMPLOYER ASSURANCE SOLUTIONS | 4281 BUCKSKIN WOOD DR ELLICOTT CITY, MD 21042 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $149 | $3K | 1.08% |
| ACKERMAN, MICHAEL, ROBERT3 Filed as: M ACKERMAN | 435 DEVON PARK DR WAYNE, PA 19087 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $133 | $3K | 1.02% |
| ROBERT ANTHONY MARTIN3 Filed as: ROBERT MARTIN | PO BOX 1516 FLORENCE, KY 41022 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $984 | $3K | 1.01% |
| RICHARD LOWMAN3 | 2310 LONGCREST AVE BETHEL PARK, PA 15102 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 0.85% |
| SANDRA SIMS3 | 13750 W COLONIAL DR, STE 350 WINTER GARDEN, FL 34787 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $149 | $1K | 0.42% |
| SABRINA S RAMOS3 Filed as: SABRINA RAMOS | 13750 W COLONIAL DR WINTER GARDEN, FL 34787 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $842 | $200 | $1K | 0.38% |
| DAWN R MORGAN3 | 6413 DUNMOOR DR PLANO, TX 75093 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $797 | $120 | $917 | 0.33% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY | 20 N MARTINGALE RD SCHAUMBURG, IL 60173 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $623 | — | $623 | 0.22% |
| MARIA VERONICA JARQUE3 Filed as: MARIA V JARQUE | 4525 GEORGIA ST SAN DIEGO, CA 92116 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $423 | $108 | $531 | 0.19% |
| HILARY RADOLEC3 Filed as: HILARY BISSETT RADOLEC | 4801 FAIRMONT AVE BETHESDA, MD 20814 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $386 | $10 | $396 | 0.14% |
| ARTHUR LEE SLAYLINE3 | 46 KYLES LANE APT 1 FORT THOMAS, KY 41075 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $174 | $109 | $283 | 0.10% |
| NICHOLETTE R MONTINI3 Filed as: NICHOLETTE R. MONTINI | 142 CENTER GRANGE RD. ALIQUIPPA, PA 15001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $169 | — | $169 | 0.06% |
| SAMANTHA C CORTELAZZO-ABBATE3 Filed as: SAMANTHA ANN MORNINGSTAR | 4281 BUCKSKIN WOOD DR. ELLICOTT CITY, MD 21042 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $134 | $2 | $136 | 0.05% |
| RENNARD, WILLIAM3 Filed as: WM RENNARD | 3001 ALOMA AVE WINTER PARK, FL 32792 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $89 | $33 | $122 | 0.04% |
| NORWOOD BENEFIT SERVICES INC3 | 6478 LONG BREEZE RD ORLANDO, FL 32810 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $89 | $7 | $96 | 0.03% |
| JGBENEFIT CONSULTANTS3 | 12300 FORD RD FARMERS BRANCH, TX 75234 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $77 | $12 | $89 | 0.03% |
| KRISTI RAE CHAPMAN3 Filed as: KRISTI CHAPMAN | 375 STAR LIGHT DR FORT MILL, SC 29715 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $56 | $17 | $73 | 0.03% |
| WENDY DAWN PACK3 Filed as: WENDY D PACK | 16109 WATT WAY RAMONA, CA 92065 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $41 | — | $41 | 0.01% |
| JOSHUA PAUL GROUP INC3 Filed as: JOSHUA BRIAN PATTEN | 102 PEPPERGRASS ROAD BADEN, PA 15005 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | $25 | $39 | 0.01% |
| EVELYN MORGAN3 | 239 TOMER LANE GREENSBURG, PA 15601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $26 | — | $26 | 0.01% |
| ETHAN MCNAMARA3 | 12050 LAMPLIGHTERS DR. ELLICOTT CITY, MD 21042 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | — | $21 | 0.01% |
| MILLENNIUM CORPORATE SOLUTIONS3 Filed as: MILLENNIUM LLC | 7108 CORNERSTONE DR. NEWTOWN SQUARE, PA 19073 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15 | — | $15 | 0.01% |
| THE CLARK GROUP OF SC3 | 589 WINDMERE DR LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $7 | $13 | 0.00% |
| KEVIN E HARRIS3 | 14 2ND AVENUE NEWNAN, GA 30263 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $7 | $11 | 0.00% |
| ALICE RYAN STRIBLING3 | 511 KILBOURNE RD COLUMBIA, SC 29205 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | $2 | $9 | 0.00% |
| RITA BERGSTEIN BENEFITS LLC3 Filed as: RITA MARIE BERGSTEIN | #232 140 MAIN STREET IRWIN, PA 15642 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.00% |
| ELAISUS BONNER3 | 974 ROSEFIELD LANE AURORA, IL 60504 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $2 | $5 | 0.00% |
| KEVIN DUANE GREEN3 | 1751 SILVERGRASS LANE GRAYSON, GA 30017 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $2 | $4 | 0.00% |
| AMANDA C LONG3 Filed as: AMANDA LONG | 230 VENANGO TRAIL MARS, PA 16046 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $3 | $4 | 0.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SERVICES LLC | 1215 MANOR DR., STE. 200 MECHANICSBURG, PA 17055 | SYMETRA LIFE INSURANCE COMPANY | $4K | $3K | $8K | 4.93% |
| USI INSURANCE SERVICES LLC3 | SIX PPG PLACE, STE 200 PITTSBURGH, PA 15222 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 7.32% |
| J HRIVNAK3 | 3900 INDUSTRIAL PARK DR ALTOONA, PA 16602 | CONTINENTAL AMERICAN INSURANCE COMPANY | $428 | — | $428 | 1.25% |
| MELISSA E GRAVES3 Filed as: MELISSA E. GRAVES | 350 MARKET ST. APT. 314 JOHNSTOWN, PA 15901 | CONTINENTAL AMERICAN INSURANCE COMPANY | $324 | — | $324 | 0.95% |
| JEFFREY S FOLK3 | 8472 FRIENDSVILLE RD. FRIENDSVILLE, MD 21531 | CONTINENTAL AMERICAN INSURANCE COMPANY | $195 | — | $195 | 0.57% |
| JENNIFER ROBIN HRIVNAK3 Filed as: JENNIFER R. HRIVNAK | 5 LOG CABIN CT. ALTOONA, PA 16602 | CONTINENTAL AMERICAN INSURANCE COMPANY | $179 | — | $179 | 0.52% |
| JODY D MARSHALL3 | 514 BEAUMONT DR. STATE COLLEGE, PA 16801 | CONTINENTAL AMERICAN INSURANCE COMPANY | $112 | — | $112 | 0.33% |
| JAMES BRANDT3 | 47 MARVIN ST PORT MATILDA, PA 16870 | CONTINENTAL AMERICAN INSURANCE COMPANY | $88 | — | $88 | 0.26% |
| BRIAN STRENKO3 | 469 MT. HOPE RD SOUTH FORK, PA 15956 | CONTINENTAL AMERICAN INSURANCE COMPANY | $76 | — | $76 | 0.22% |
| FRANK E JAMES3 | 370 TOWNHILL RD BERLIN, PA 15530 | CONTINENTAL AMERICAN INSURANCE COMPANY | $64 | — | $64 | 0.19% |
| KENAN KEVENK3 | 1262 LAUREL VIEW DR JOHNSTOWN, PA 15905 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27 | — | $27 | 0.08% |
| JOHN E HRIVNAK3 | 3900 INDUSTRIAL PARK DRIVE ALTOONA, PA 16602 | CONTINENTAL AMERICAN INSURANCE COMPANY | $21 | — | $21 | 0.06% |
| TRAVIS I RUSKO3 | 203 PLANK RD. APT. 1 SOMERSET, PA 15501 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14 | — | $14 | 0.04% |
| JORDAN BERRY3 | 2837 BUTTERNUT RD. TYRONE, PA 16686 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 0.04% |
| ROBERT HESLEP3 Filed as: ROBERT WILDERSPIN | 6364 LONG IVY WAY BUFORD, GA 30518 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.03% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: JAMES G BROWN | 2522 OWENS LANDING TRL NW KENNESAW, GA 30152 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| ANDREW POWELL3 Filed as: ANDREW R POWELL | 1 PERISMMON DRIVE BOILING SPRINGS, PA 17007 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| BARBARA A DETZ3 | 7 DEWBERRY COURT MECHANICSBURG, PA 17055 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| ROBERT HESLEP3 Filed as: ROBERT WILDERSPIN | 6364 LONG IVY WAY SUGAR HILL, GA 30518 | THE PAUL REVERE LIFE INSURANCE COMPANY | $228 | — | $228 | 3.14% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 1215 MANOR DRIVE MECHANICSBURG, PA 17055 | THE PAUL REVERE LIFE INSURANCE COMPANY | $151 | — | $151 | 2.08% |
| ANDREA STEARNS3 | 2310 LONGCREST AVE BETHEL PARK, PA 15102 | THE PAUL REVERE LIFE INSURANCE COMPANY | $105 | — | $105 | 1.44% |
| ASSURANCE AGENCY LTD3 Filed as: EMPLOYER ASSURANCE SOLUTIONS LLC | 4281 BUCKSKIN WOOD DR. ELLICOTT CITY, MD 21042 | THE PAUL REVERE LIFE INSURANCE COMPANY | $81 | $4 | $85 | 1.17% |
| RICHARD LOWMAN3 | 2310 LONGCREST AVE BETHEL PARK, PA 15102 | THE PAUL REVERE LIFE INSURANCE COMPANY | $35 | — | $35 | 0.48% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY | 20 N MARTINGALE RD., STE 100 SCHAUMBURG, IL 60173 | THE PAUL REVERE LIFE INSURANCE COMPANY | $7 | — | $7 | 0.10% |
| MICHAEL R ACKERMAN3 Filed as: MICHAEL ACKERMAN | 435DEVON PARK DR WAYNE, PA 19087 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2 | — | $2 | 0.03% |
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 | 1,250 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,254 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA DENTAL PLANS OF PA | 48 | $9K |
| Vision | HM LIFE INSURANCE COMPANY | 1,877 | $99K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 1,250 | $154K |
| Short-term disability(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 250 | $285K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 1,250 | $154K |
| Other(4 contracts, 4 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 1,250 | $473K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,877 | — |
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.