| 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 | $27K | $24K | $51K | 14.87% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC. | P.O. BOX 283 DILLSBURG, PA 17019 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22K | $1K | $23K | 6.69% |
| WILLIAM A GRAHAM COMPANY3 Filed as: WILLIAM A. GRAHAM COMPANY | ONE PENN SQUARE WEST PHILADELPHIA, PA 19102 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17K | $3K | $21K | 6.08% |
| BENECHOICE ENROLLMENT SOLUTIONS3 Filed as: BENECHOICE ENROLLMENT SOLUTIONS INC | 1574 LITITZ PIKE LANCASTER, PA 17601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $5K | $13K | 3.76% |
| MARY-JOYCE LICATA3 Filed as: MARY J. YARNELL | 170 EAST HAMILTON LANE BATTLE CREEK, MI 49015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9K | $2K | $11K | 3.30% |
| JAMES BARTLETT LLC3 Filed as: JAMES BARTLETT | 3138 GREENRIDGE DRIVE LANCASTER, PA 17601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $701 | $5K | 1.43% |
| BRENDA H BRIDGES3 Filed as: BRENDA LEE PLACKO | 1862 CREEK ROAD MANHEIM, PA 17545 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $441 | $4K | 1.25% |
| THOMAS F HAYES3 Filed as: THOMAS F. HAYES | 2205 OREGON PIKE LANCASTER, PA 17601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $242 | $4K | 1.03% |
| JASON RYAN LOWREY3 Filed as: JASON RYAN LOWERY | 705 CREEKSIDE LANE LITITZ, PA 17543 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $248 | $2K | 0.58% |
| CASEY H EBBERT3 Filed as: CASEY H. EBBERT | 1574 LITITZ PIKE LANCASTER, PA 17601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $181 | $2K | 0.57% |
| ROGERS BENEFIT GROUP INC3 Filed as: PATRICK MICHAEL ROGERS | 137 CAMELOT CIRCLE CORAOPOLIS, PA 15108 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $183 | $2K | 0.48% |
| RICHARD F DURR3 Filed as: RICHARD F. DURR | 159 COOK ROAD DUBOIS, PA 15801 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $67 | $2K | 0.47% |
| LANCE A BRADLEY3 Filed as: LANCE A. BRADLEY | 2028 MOUNT VERNON CIRCLE HARRISBURG, PA 17110 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $68 | $1K | 0.35% |
| KATHRYN BURNSIDE3 | 219 HILLSIDE 2 DALLAS, PA 18612 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $761 | — | $761 | 0.22% |
| EDWARD P DOUGHERTY INC3 Filed as: EDWARD P. DOUGHERTY INC. | 4550 PRESTWICK DRIVE READING, PA 19606 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $465 | $57 | $522 | 0.15% |
| DANA FRY3 | 510 PAUL AVENUE LEWISBERRY, PA 17339 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $499 | — | $499 | 0.15% |
| WAYNE ROBERTS3 | 958 MCCOY ROAD MCKEES ROCKS, PA 15136 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $219 | $91 | $310 | 0.09% |
| PETER HOLTAN3 | 100 WINTERBERRY WAY WOODBURY, NJ 08096 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $305 | — | $305 | 0.09% |
| BENJAMIN ACEVEDO3 | 16211 E. GROVECENTER STREET COVINA, CA 91722 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $27 | $3 | $30 | 0.01% |
| DESIREE WENDELL3 | 40771 FENIAN WAY NORTH BRANCH, MN 55056 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | $1 | $25 | 0.01% |
| KAREN BOHLER3 | 12810 PRIMROSE LANE EDED PRAIRIE, MN 55344 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | $4 | $17 | 0.00% |
| MARK A GROVE3 Filed as: MARK A. GROVE | 25900 AUTUMN WAY ROGERS, MN 55374 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | $8 | $16 | 0.00% |
| LAURA B WETT3 Filed as: LAURA B. WETT | 8496 100TH STREET EAST NORTHFIELD, MN 55057 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9 | $2 | $11 | 0.00% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KLH INSURANCE INC. | 6481 TANGER LANAE EDEN PRAIRIE, MN 55346 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | $1 | $11 | 0.00% |
| CLARICE R MIMS3 Filed as: CLARICE R. MIMS | 172-90 HIGHLAND AVENUE JAMAICA ESTATES, NY 11432 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $2 | $8 | 0.00% |
| JOHN D EVANGELISTA3 Filed as: JOHN EVANGELISTA | 26111 ANTONIO PARKWAY RANCHO SANTA MARGARITA, CA 92688 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $2 | $6 | 0.00% |
| CAROLYN GROVER3 | 206 FOX CHAPEL DRIVE IRMO, SC 29063 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | $1 | $6 | 0.00% |
| CAROL BARNES3 | 2561 FALCON RIDGE DRIVE GRAYSON, GA 30017 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| KIDS INSURANCE BENEFITS INC3 Filed as: KIDS INSURANCE BENEFITS INC. | 9085 BETHEL ROAD GAINESVILLE, GA 30506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $1 | $2 | 0.00% |
| BRAD BIEL3 | 225 GRAND STREET JERSEY CITY, NJ 07302 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | — | $2 | $2 | 0.00% |
| ADVANCED BENEFIT SYSTEM INC3 Filed as: ADVANCED BENEFIT SYSTEM INC. | 1301 GERVAIS STREET COLUMBIA, SC 29201 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | — | $1 | $1 | 0.00% |
| WILLIAM A GRAHAM COMPANY3 Filed as: WILLIAM A. GRAHAM CO. | P.O. BOX 7247 MAIL CODE 7933 PHILADELPHIA, PA 191707933 | METROPOLITAN LIFE INSURANCE COMPANY | $17K | $749 | $18K | 5.46% |
| CONNER STRONG & BUCKELEW3 | 401 ROUTE 73 NORTH P.O. BOX 989 MARLTON, NJ 08053 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 1.76% |
| THE GRAHAM COMPANY3 | ONE PENN SQUARE W 25TH FLOOR PHILADELPHIA, PA 19102 | NATIONAL VISION ADMINISTRATORS, L.L.C. (HEARTLAND) | $3K | — | $3K | 3.26% |
| CONNER STRONG & BUCKELEW3 | 401 ROUTE 73 NORTH P.O. BOX 989 MARLTON, NJ 08053 | NATIONAL VISION ADMINISTRATORS, L.L.C. (HEARTLAND) | $2K | — | $2K | 1.74% |
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 | 869 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 885 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 412 | $340K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,245 | $329K |
| Vision | NATIONAL VISION ADMINISTRATORS, L.L.C. (HEARTLAND) | 1,230 | $86K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 1,245 | $669K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 412 | $340K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,245 | $329K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 1,245 | $669K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,245 | — |
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.