| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CMR5 | 1709A GORNTO RD #128 VALDOSTA, GA 31601 | TOKIO MARINE/HCC | $0 | $101K | $101K | 74.65% |
| GLOBALCARE/ZELIS0 | PO BOX 743856 ATLANTA, GA 30374 | TOKIO MARINE/HCC | $0 | $20K | $20K | 14.65% |
| COHEN BENEFITS GROUP INC3 Filed as: COHEN BENEFITS GROUP | 4062 PEACHTREE RD STE A432 ATLANTA, GA 30319 | TOKIO MARINE/HCC | $7K | $0 | $7K | 5.26% |
| MEDWATCH LLC0 Filed as: MEDWATCH | PO BOX 21796 TAMPA, FL 33630 | TOKIO MARINE/HCC | $0 | $5K | $5K | 3.76% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 100 SUMMIT LAKE DR VALHALLA, NY 10595 | HARTFORD LIFE AND ACCIDENT | $2K | $2K | $3K | 11.56% |
| DJME VENTURES INC.3 Filed as: DJME VENTURES, INC | PO BOX 976 GROVE CITY, PA 16127 | HARTFORD LIFE AND ACCIDENT | $1K | $0 | $1K | 4.45% |
| DAVEVIC BENEFIT CONSULTANTS, INC.3 Filed as: DAVEVIC BENEFIT CONSULTANTS | 902 S CENTER ST GROVE CITY, PA 16127 | EQUITABLE | $2K | $0 | $2K | 9.58% |
| BENECHOICE ENROLLMENT SOLUTIONS & T3 | 1574 LITITZ PIKE LANCASTER, PA 17601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $48 | $0 | $48 | 5.12% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA HELMBOLD & STEWART | 12 SOUTH 3RD STREET CLEARFIELD, PA 16830 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $33 | $0 | $33 | 3.52% |
| ASHLY ELCOCK3 | 200 TATTLETOWN RD AARONSBURG, PA 16820 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | $0 | $5 | 0.53% |
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 | 121 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 121 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TOKIO MARINE/HCC | 121 | $135K |
| Dental | TOKIO MARINE/HCC | 121 | $135K |
| Vision | TOKIO MARINE/HCC | 121 | $135K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 158 | $53K |
| Short-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 158 | $53K |
| Prescription drug | TOKIO MARINE/HCC | 121 | $135K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 144 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 158 | — |
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.