| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUCK CONSULTANTS LLC3 | PO BOX 202617 DALLAS, TX 753202617 | METROPOLITAN LIFE INSURANCE COMPANY | $58K | $121 | $58K | 2.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2 PIERCE PL 14TH FLOOR ITASCA, IL 60143 | AETNA HEALTH, INC. | $0 | $9K | $9K | 0.70% |
| CORPORATE BENEFITS CONSULTANTS INC3 Filed as: CORPORATE BENEFITS CONSULTANTS | 8500 BROOKSTREE ROAD SUITE 305 WEXFORD, PA 15090 | SYMETRA LIFE INSURANCE COMPANY | $34K | $23K | $57K | 5.09% |
| COURY HEALTH SERVICES LLC3 Filed as: COURY HEALTH SERVICES, INC. | ONE OXFORD CENTRE 301 GRANT ST., SUITE 300 PITTSBURGH, PA 15219 | UPMC HEALTH OPTIONS | $21K | — | $21K | 3.32% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | BOX 202617 DALLAS, TX 753202617 | HIGHMARK CASUALTY INSURANCE COMPANY | $10K | — | $10K | 2.00% |
| CORPORATE BENEFIT CONSULTANTS3 | 8500 BROOKSTREE ROAD SUITE 305 WEXFORD, PA 15090 | SYMETRA LIFE INSURANCE COMPANY | $17K | $9K | $26K | 6.09% |
| STYLE VINCENT & ASSOCIATES3 | 16000 VENTURA BLVD SUITE 601 ENCINO, CA 91436 | CALIFORNIA CHOICE | $10K | — | $10K | 3.68% |
| BENEFITS ALLIANCE INSURANCE SERVICE3 Filed as: BENEFITS ALLIANCE INSURANCE SVCS | 5210 LEWIS ROAD, STE 14 AGOURA HILLS, CA 91301 | CALIFORNIA CHOICE | $8K | — | $8K | 2.85% |
| CORPORATE BENEFITS CONSULTANTS INC3 Filed as: CORPORATE BENEFITS CONSULTANTS | 910 SHERATON DRIVE STE 410 MARS, PA 16046 | SYMETRA LIFE INSURANCE COMPANY | $6K | $5K | $11K | 5.82% |
| CORPORATE BENEFIT CONSULTANTS3 | 8500 BROOKSTREE ROAD SUITE 305 WEXFORD, PA 15090 | SYMETRA LIFE INSURANCE COMPANY | $5K | $4K | $9K | 5.09% |
| J12 CONCEPTS LLC3 | 1812 FOX CROFT LANE #902 ALLISON PARK, PA 15101 | FEDERAL INSURANCE COMPANY | $18K | — | $18K | 15.00% |
| J12 CONCEPTS LLC3 | 1812 FOX CROFT LANE #902 ALLISON PARK, PA 15101 | FEDERAL INSURANCE COMPANY | $6K | — | $6K | 10.00% |
| BUCK CONSULTANTS LLC3 Filed as: BUCK CONSULTANTS, LLC | BOX 202617 DALLAS, TX 753202617 | HIGHMARK CASUALTY INSURANCE COMPANY | $388 | — | $388 | 2.03% |
| COURY HEALTH SERVICES LLC3 Filed as: COURY HEALTH SERVICES, INC. | ONE OXFORD CENTRE 301 GRANT ST., SUITE 300 PITTSBURGH, PA 15219 | UPMC HEALTH OPTIONS | $336 | — | $336 | 2.86% |
| CORPORATE BENEFIT CONSULTANTS3 | 910 SHERATON DRIVE SUITE 410 MARS, PA 16046 | SYMETRA LIFE INSURANCE COMPANY | $0 | $149 | $149 | 1.81% |
| S SCOTT HUMPHREY3 | 6559 RIVER ROAD MADISON, OH 44057 | AFLAC | $193 | — | $193 | 4.60% |
| MICHAEL D EVANS JR3 | 3199 SIOUX CONIFER ROAD WATERTOWN, SD 57201 | AFLAC | $77 | — | $77 | 1.83% |
| BRYAN S HUMPHREY3 | 4323 W 143RD STREET CLEVELAND, OH 44135 | AFLAC | $52 | — | $52 | 1.24% |
| DAVID P AESOPH3 | 1301 SOUTH SUMMIT AVENUE SIOUX FALLS, SD 57105 | AFLAC | $41 | — | $41 | 0.98% |
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 | 5,634 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,045 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,679 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | AETNA HEALTH, INC. | 312 | $2.2M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 9,655 | $2.9M |
| Vision | HM LIFE INSURANCE COMPANY | 9,050 | $548K |
| Life insurance(3 contracts) | SYMETRA LIFE INSURANCE COMPANY | 4,840 | $1.5M |
| Short-term disability(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 93 | $12K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 4,840 | $424K |
| Stop-loss / reinsurancereinsurance(2 contracts) | HIGHMARK CASUALTY INSURANCE COMPANY | 3,692 | $542K |
| Other(3 contracts) | FEDERAL INSURANCE COMPANY | 0 | $223K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,655 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.