| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GILBERT INSURANCE AGENCY INC3 | P.O. BOX 688 SHARON, PA 16146 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11K | — | $11K | 4.06% |
| CHRISTOPHER L MOLDAS3 | 1122 BOULDER LANE APT 202 KENT, OH 44240 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $1 | $6K | 2.33% |
| LEE H DAVIS3 | 1362 BUCKINGHAM GATE BLVD CUYAHOGA FALLS, OH 44221 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $2K | $5K | 1.84% |
| MICHAEL R ACKERMAN3 | 435 DEVON PARK DR STE 410 WAYNE, PA 19087 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $329 | $2K | 0.80% |
| DIANA GILLESPIE3 | 1122 BOULDER LANE KENT, OH 44240 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $9 | $2K | 0.79% |
| GREGORY PAUL STAUDINGER3 | 5650 GREAT NORTHERN BLVD NORTH OLMSTED, OH 44070 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $954 | $484 | $1K | 0.52% |
| JOSEPH BADGER3 | 1565 MAIN ST PENINSULA, OH 44264 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $668 | $705 | $1K | 0.50% |
| DUNCAN OLIVER HAINES3 | 11710 STONE CREEK LN CONCORD TOWNSHIP, OH 44077 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $178 | $1K | 0.45% |
| CAROL JANE RILEY3 | 13911 LISBON ROAD SALEM, OH 44460 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 0.44% |
| JAMES ALLEN CONNER3 | 517 WEBER AVE SW STRASBURG, OH 44680 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $357 | $612 | $969 | 0.35% |
| COUNT ON WELLNESS3 | 7575 NANCY ANN DR CONCORD TOWNSHIP, OH 44077 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $871 | — | $871 | 0.32% |
| ALLISON GAVALA3 | 733 W MARKET ST AKRON, OH 44303 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $683 | — | $683 | 0.25% |
| DANEEN MARIE PURPURA3 | 4228 ROYALWOOD RD N ROYALTON, OH 44133 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $668 | $2 | $670 | 0.24% |
| JOHNNY JAMES COOPER3 | 3841 N CASCADE AVE LOT 16 COLORADO SPRINGS, CO 80907 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $459 | $139 | $598 | 0.22% |
| ZACKERY JACOB LYONS3 | 27278 BREWSTER RD PUEBLO, CO 81006 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $249 | $86 | $335 | 0.12% |
| BARBARA BAXTER DEJOHN3 | 1154 TIDEWOOD DR BETHEL PARK, PA 15102 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $122 | $16 | $138 | 0.05% |
| KEITH HOWARD LEFEVRE3 | 8885 LADY MADONNA CIR UNIT 306 HIGHLANDS RANCH, CO 80129 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $92 | $20 | $112 | 0.04% |
| TAYSHIA DIANA SMITH3 | 517 WEBER AVE SW STRASBURG, OH 44680 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $76 | $23 | $99 | 0.04% |
| YSENIA A HERNANDEZ3 | 6715 S KEELER AVE CHICAGO, IL 60629 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $38 | $8 | $46 | 0.02% |
| GERALD A GREENEN3 | 472 ROUTE 47 STE F-102 SUGAR GROVE, IL 60554 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | — | $37 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WILLIAM DAVID BROWN | 1340 BALDWIN CT BROADVIEW HTS, OH 44147 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $32 | — | $32 | 0.01% |
| GRUND BENEFIT ADVISORS LLC3 | 14669 MEREDITH AVE OMAHA, NE 68116 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | — | $19 | 0.01% |
| ANTHONY VESTAL3 | 8437 STARLIGHT LOOP PARRISH, FL 34219 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | — | $17 | 0.01% |
| HOWARD HOROWITZ3 Filed as: HOWARD J HOROWITZ | 2610 ALCOTT ST CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | $3 | $13 | 0.00% |
| TIMOTHY J SLATER3 | 466 CARNEGIE DR PITTSBURGH, PA 15243 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9 | $2 | $11 | 0.00% |
| DANIELLE LEE SWAIN3 | 3348 KLAGES BLVD TALLMADGE, OH 44278 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.00% |
| MEGAN ELIZABETH CASTO3 | 10340 CARNEY DR SE OLYMPIA, WA 98501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $2 | $6 | 0.00% |
| RICH IN BENEFITS INC3 | 13109 NE 123RD ST APT P240 KIRKLAND, WA 98034 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $1 | $5 | 0.00% |
| ELAISIUS BONNER3 | 974 ROSEFIELD LN AURORA, IL 60504 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| JANTELLE LAVONNE BONNER3 | 99 N POST OAK LN APT 5302 HOUSTON, TX 77024 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| GILBERT INSURANCE AGENCY INC3 | P.O. BOX 688 SHARON, PA 16146 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | — | $7K | 5.29% |
| GCG FINANCIAL LLC3 Filed as: ALERA GENERAL AGENCY | 965 GREENTREE RD STE 110 PITTSBURGH, PA 15220 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $25 | $4K | 3.33% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP INC | 965 GREENTREE RD STE 110 PITTSBURGH, PA 15220 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $25 | $2K | 1.68% |
| GILBERT INSURANCE AGENCY INC3 | 30 E STATE STREET SHARON, PA 16146 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP INC | 3 PARKWAY NORTH BLVD STE 500 DEERFIELD, IL 60015 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 5.00% |
| GILBERTS INSURANCE AGENCY INC3 Filed as: GILBERTS INSURANCE AGENCY | 30 E STATE STREET SHARON, PA 16146 | THE PAUL REVERE LIFE INSURANCE COMPANY | $82 | — | $82 | 7.78% |
| DIANA GILLESPIE3 | 1122 BOULDER LANE KENT, OH 44240 | THE PAUL REVERE LIFE INSURANCE COMPANY | $58 | — | $58 | 5.50% |
| CAROL JANE RILEY3 | 13911 LISBON ROAD SALEM, OH 44460 | THE PAUL REVERE LIFE INSURANCE COMPANY | $6 | — | $6 | 0.57% |
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 | 235 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 235 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 390 | $126K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 390 | $126K |
| Life insurance(3 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 387 | $298K |
| Short-term disability(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 387 | $297K |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 177 | $275K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 390 | — |
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.