| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| T NASH SKILES INC3 Filed as: T NASH SKILES, INC. | 1574 LITITZ PIKE LANCASTER, PA 17601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $5K | $11K | 9.43% |
| BRENDA H BRIDGES3 Filed as: BRENDA LEE PLACKO | 1863 CREEK RD. MANHEIM, PA 17545 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $488 | $6K | 5.30% |
| MARY-JOYCE LICATA3 Filed as: MARY J YARNELL | 170 E HAMILTON LANE BATTLE CREEK, MI 49015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $390 | $3K | 2.37% |
| BENECHOICE ENROLLMENT SOLUTIONS3 Filed as: BENECHOICE ENROLLMENT SOLUTIONS INC | 1574 LITITZ PIKE LANCASTER, PA 17601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $714 | $2K | 2.07% |
| JAMES BARTLETT LLC3 Filed as: JAMES BARTLETT | 3138 GREENRIDGE DRIVE LANCASTER, PA 17601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $119 | $1K | 1.02% |
| DANA FRY3 | 510 PAUL AVENUE LEWISBERRY, PA 17339 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $593 | — | $593 | 0.50% |
| THOMAS F HAYES3 | 2205 OREGON PIKE LANCASTER, PA 17601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $502 | $31 | $533 | 0.44% |
| ASHLY ELCOCK3 | 200 TATTLETOWN RD. AARONSBURG, PA 16820 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $448 | $12 | $460 | 0.38% |
| RICHARD F DURR3 | 159 COOK RD. DUBOIS, PA 15801 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $338 | — | $338 | 0.28% |
| PETER HOLTAN3 | 100 WINTERBERRY WAY WOODBURY, NJ 08096 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $314 | — | $314 | 0.26% |
| LANCE A BRADLEY3 | 2028 MOUNT VERNON CIRCLE HARRISBURG, PA 17110 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $248 | $12 | $260 | 0.22% |
| JASON RYAN LOWREY3 | 705 CREEKSIDE LANE LITITZ, PA 17543 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $173 | $12 | $185 | 0.15% |
| KAREN BOHLER3 | 12810 PRIMROSE LANE EDED PRAIRIE, MN 55344 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $94 | $35 | $129 | 0.11% |
| EDWARD P DOUGHERTY INC3 Filed as: EDWARD P DOUGHERTY, INC. | 4550 PRESTWICK DR READING, PA 19606 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $118 | $10 | $128 | 0.11% |
| KATHRYON BURNSIDE3 | 219 HILLSIDE 2 DALLAS, PA 18612 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $126 | — | $126 | 0.11% |
| TIMOTHY J REED3 | 21 AZALEA DRIVE LUMBERTON, NJ 08048 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $121 | — | $121 | 0.10% |
| CASEY H EBBERT3 | 1574 LITITZ PIKE LANCASTER, PA 17601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $81 | $5 | $86 | 0.07% |
| MARC A GROVE3 | 25900 AUTUMN WAY ROGERS, MN 55374 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $20 | $18 | $38 | 0.03% |
| PETRINA SKILES3 Filed as: PETRINA SKILES BENEFITS, INC. | 126 FOXSHIRE DRIVE, SUITE 1 LANCASTER, PA 17601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $32 | — | $32 | 0.03% |
| DAVID ALVARADO3 | 2643 OLD COUNTY RD NEWARK, DE 19702 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $31 | — | $31 | 0.03% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KLH INSURANCE, INC. | 6481 TANAGER LANE EDEN PRAIRIE, MN 55346 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $29 | $2 | $31 | 0.03% |
| LAURA B WETT3 | 8496 100TH ST. E. NORTHFIELD, MN 55057 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | $1 | $14 | 0.01% |
| HARTMAN EMPLOYEE BENEFITS3 | 420 WILLIAM STREET P.O. BOX 1087 WILLIAMSPORT, PA 17701 | GUARDIAN | $4K | $2K | $6K | 7.74% |
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 | 167 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 167 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CAPITAL ADVANTAGE ASSURANCE COMPANY | 135 | $1.1M |
| Dental | GUARDIAN | 146 | $75K |
| Vision | GUARDIAN | 146 | $75K |
| Life insurance | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 167 | $120K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 167 | $120K |
| Prescription drug | CAPITAL ADVANTAGE ASSURANCE COMPANY | 135 | $1.1M |
| Stop-loss / reinsurancereinsurance | AVALON INSURANCE COMPANY | 135 | $137K |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 167 | $120K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 167 | — |
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.