| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROKERAGE CONCEPTS INC3 | 512 TOWNSHIP LINE ROAD BLUE BELL, PA 19422 | BERKLEY ACCIDENT AND HEALTH | — | — | $0 | 0.00% |
| ANDREA STEARNS3 Filed as: ANDREA JOAN STEARNS | 2310 LONGCREST AVE BETHEL PARK, PA 15102 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $590 | $5K | 6.99% |
| COURY HEALTH SERVICES LLC3 Filed as: COURY HEALTH SERVICES INC | 965 GREENTREE ROAD PITTSBURGH, PA 15220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 4.58% |
| RICHARD LOWMAN3 | 2310 LONGCREST AVE BETHEL PARK, PA 15102 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.70% |
| MICHAEL R ACKERMAN | 435 DEVON PARK DR WAYNE, PA 19087 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $118 | $1K | 1.68% |
| BARUCH KLAHR3 | 100 DUTCH HILL ROAD STE 220 ORANGEBURG, NY 10962 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $114 | $4 | $118 | 0.16% |
| DAVID E HAUCK3 Filed as: DAVID E HAUK | 5125 SHORELINE WAY VERMILLION, OH 44089 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $75 | — | $75 | 0.10% |
| SOTERIA PARTNERS LLC3 | 550 W 29TH ST APT 3A NEW YORK, NY 10001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $45 | $19 | $64 | 0.08% |
| TRESSA VADETTE DARGAN JASPER3 | 13760 SOUTHGATE ST SPRINGFIELD GARDENS, NY 11413 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $43 | $3 | $46 | 0.06% |
| ALAN J ZUCCARI INC3 | 4100 MONUMENT CORNER DR FAIRFAX, VA 22030 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $43 | — | $43 | 0.06% |
| DONNA TROXELL3 | 526 SCAIFE ROAD SEWICKLEY, PA 15143 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | — | $21 | 0.03% |
| JESSICA ERIN BENNETT3 | 140 GALLEY ROAD CANONSBURG, PA 15317 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $20 | — | $20 | 0.03% |
| DAVID RUSSELL3 | 625 BUSH ROAD NEW ALEXANDRIA, PA 15670 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 0.01% |
| E B SPECIALISTS INC3 | 15488 RIDGE ROAD NINDE, VA 22526 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $5 | $7 | 0.01% |
| JAY G SHAFFER3 | 422 N MAIN ST BUTLER, PA 16001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| KATI NAIRN3 | 114 JAMES DR BEAVER, PA 15009 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| TIMOTHY BIRDSONG3 | 302 FIELDBROOK DR WASHINGTON, PA 15301 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DANIEL J SLATER | 1624 HOLLY HILL DR BETHEL PARK, PA 15102 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| TIMOTHY J SLATER3 | 466 CARNEGIE SR PITTSBURGH, PA 15243 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| COURY HEALTH SERVICES LLC3 Filed as: COURY HEALTH SERVICES INC | 965 GREENTREE ROAD PITTSBURGH, PA 15220 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | — | $2K | $2K | 4.39% |
| COURY HEALTH SERVICES LLC3 Filed as: COURY HEALTH SERVICES INC | 965 GREENTREE ROAD PITTSBURGH, PA 15220 | VISION BENEFITS OF AMERICA | $840 | — | $840 | 3.00% |
| COURY HEALTH SERVICES LLC3 Filed as: COURY HEALTH SERVICES INC | 965 GREENTREE ROAD PITTSBURGH, PA 15220 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | — | $912 | $912 | 4.32% |
| COURY HEALTH SERVICES LLC3 Filed as: COURY HEALTH SERVICES INC | 965 GREENTREE ROAD PITTSBURGH, PA 15220 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $3K | — | $3K | 15.75% |
| ANDREA STEARNS3 Filed as: ANDREA JOAN STEARNS | 2310 LONGCREST AVE BETHEL PARK, PA 15102 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $3K | — | $3K | 15.44% |
| ROMAN A. MATUSZ3 Filed as: ROMAN A MATUSZ | 6 PPG PLACE PITTSBURGH, PA 15222 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $895 | $103 | $998 | 5.63% |
| ANDREA STEARNS3 Filed as: ANDREA JOAN STEARNS | 2310 LONGCREST AVE BETHEL PARK, PA 15102 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $195 | — | $195 | 1.10% |
| COURY HEALTH SERVICES LLC3 Filed as: COURY HEALTH SERVICES INC | 965 GREENTREE ROAD PITTSBURGH, PA 15220 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | — | $619 | $619 | 4.39% |
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 | 297 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 297 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | RELIANCE STANDARD | 477 | $94K |
| Vision | VISION BENEFITS OF AMERICA | 229 | $28K |
| Life insurance(3 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 297 | $108K |
| Short-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 296 | $57K |
| Long-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 105 | $21K |
| Stop-loss / reinsurancereinsurance | BERKLEY ACCIDENT AND HEALTH | 419 | $336K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 477 | — |
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.